Indiana Statutes
§ 27-13-41-2 — Reimbursement
If a provider provides health care services that are covered under an individual contract or a group contract:
(1)after the date of the version specified in IC 27-1-1.5 of a
diagnostic or procedure code described in section 1 of this
chapter; and
(2)before the health maintenance organization or limited service
health maintenance organization begins using the version of the
diagnostic or procedure code;
the health maintenance organization or limited service health
maintenance organization shall reimburse the provider under the
version of the diagnostic or procedure code that was specified in IC 27-1-1.5 on the date that the health care services were provided.
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Legislative History
As added by P.L.161-2001, SEC.5. Amended by P.L.124-2018,
SEC.102.
Nearby Sections
15
§ 27-1-1-1
Creation; functions§ 27-1-1-2
Insurance commissioner§ 27-1-1-3
Personnel§ 27-1-1-4
Repealed§ 27-1-1-5
Repealed§ 27-1-1.5-10
"Annual Statement Blank"§ 27-1-1.5-11
"Annual Statement Instructions"§ 27-1-1.5-12
"Current Dental Terminology"; "CDT"§ 27-1-1.5-13
"Current Procedural Terminology"; "CPT"§ 27-1-1.5-15
"Financial Analysis Handbook"§ 27-1-1.5-16
"Financial Condition Examiner's Handbook"§ 27-1-1.5-18
"Healthcare Common Procedure Coding System"; "HCPCS"