Indiana Statutes
§ 27-8-16-11 — Prohibited bases for compensation of claim review agents and consultants
(a)The compensation of a claim review
agent for the performance of medical claims review may not be based
on the amount by which claims are reduced for payment.
(b)The compensation of a claim review consultant for making a
recommendation or providing consultation concerning the
appropriateness of or amount charged for a health care service
delivered to an enrollee in Indiana may not be based on the amount by
which a claim relating to the service is reduced for payment.
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Legislative History
As added by P.L.128-1992, SEC.2. Amended by P.L.260-1995,
SEC.8.
Nearby Sections
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§ 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Repealed§ 27-1-1-5
Repealed§ 27-1-1.5-10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"