Indiana Statutes

§ 27-8-16-11 — Prohibited bases for compensation of claim review agents and consultants

Indiana § 27-8-16-11
JurisdictionIndiana
Title 27INSURANCE
Art. 8LIFE, ACCIDENT, AND HEALTH
Ch. 16Medical Claims Review

This text of Indiana § 27-8-16-11 (Prohibited bases for compensation of claim review agents and consultants) 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 § 27-8-16-11 (2026).

Text

(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

15
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Bluebook (online)
Indiana § 27-8-16-11, Counsel Stack Legal Research, https://law.counselstack.com/statute/in/27-8-16-11.