Indiana § 27-2-16-4 Identification cards and benefit booklets; utilization review
determination clause

Indiana Statutes

§ 27-2-16-4 — Identification cards and benefit booklets; utilization review determination clause

Indiana·Title 27 INSURANCE·Art. 2 POWERS AND DUTIES OF INSURERS·Ch. 16 Insurance Claim Form Notice

An insurer shall include on each identification
card and on all benefit booklets that are delivered to an enrollee (as
defined in IC 27-8-17-3) whose policy requires a utilization review
determination (as defined in IC 27-8-17-8) a printed statement in
boldface 8 point type in the benefit booklets and in 6 point type on the
identification cards that reads substantially as follows:
"NOTICE: Precertification or preauthorization does NOT
guarantee coverage for or the payment of the service or procedure
reviewed.".

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An insurer shall include on each identification
card and on all benefit booklets that are delivered to an enrollee (as
defined in IC 27-8-17-3) whose policy requires a utilization review
determination (as defined in IC 27-8-17-8) a printed statement in
boldface 8 point type in the benefit booklets and in 6 point type on the
identification cards that reads substantially as follows:
"NOTICE: Precertification or preauthorization does NOT
guarantee coverage for or the payment of the service or procedure
reviewed.".

Indiana § 27-2-16-4 (Identification cards and benefit booklets; utilization review determination clause) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.