Indiana Statutes

§ 27-13-36.2-8 — Claim payment errors

Indiana § 27-13-36.2-8
JurisdictionIndiana
Title 27INSURANCE
Art. 13HEALTH MAINTENANCE ORGANIZATIONS
Ch. 36.2Provider Payment

This text of Indiana § 27-13-36.2-8 (Claim payment errors) is published on Counsel Stack Legal Research, covering Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ind. Code § 27-13-36.2-8 (2026).

Text

(a)A health maintenance organization may not, more than two (2) years after the date on which an overpayment on a provider claim was made to the provider by the health maintenance organization:
(1)request that the provider repay the overpayment; or
(2)adjust a subsequent claim filed by the provider as a method of obtaining reimbursement of the overpayment from the provider.
(b)A health maintenance organization may not be required to correct a payment error to a provider more than two (2) years after the date on which a payment on a provider claim was made to the provider by the health maintenance organization.
(c)This section does not apply in cases of fraud by the provider, the enrollee, or the health maintenance organization with respect to the claim on which the overpayment or unde

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Legislative History

As added by P.L.55-2006, SEC.3.

Nearby Sections

15
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Bluebook (online)
Indiana § 27-13-36.2-8, Counsel Stack Legal Research, https://law.counselstack.com/statute/in/27-13-36.2-8.