Indiana § 27-13-36.2-9 Claim overpayment adjustment

Indiana Statutes

§ 27-13-36.2-9 — Claim overpayment adjustment

Indiana § 27-13-36.2-9

Title 27INSURANCE

Art. 13HEALTH MAINTENANCE ORGANIZATIONS

Ch. 36.2Provider Payment

This text of Indiana § 27-13-36.2-9 (Claim overpayment adjustment) 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 § 27-13-36.2-9 (2026).

Text

Every subsequent claim that is adjusted by a health maintenance organization for reimbursement on an overpayment of a previous provider claim made to the provider must be accompanied by an explanation of the reason for the adjustment, including:

(1)an identification of:

(A)the claim on which the overpayment was made; and

(B)if ascertainable, the party financially responsible for the amount overpaid; and

(2)the amount of the overpayment that is being reimbursed to the health maintenance organization through the adjusted subsequent claim.

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Every subsequent claim that is adjusted by
a health maintenance organization for reimbursement on an
overpayment of a previous provider claim made to the provider must
be accompanied by an explanation of the reason for the adjustment,
including:
(1) an identification of:
(A) the claim on which the overpayment was made; and
(B) if ascertainable, the party financially responsible for the
amount overpaid; and
(2) the amount of the overpayment that is being reimbursed to the
health maintenance organization through the adjusted subsequent
claim.