Indiana § 27-8-16-5.2 Certificate of registration; application; requirements; application fee

Indiana Statutes

§ 27-8-16-5.2 — Certificate of registration; application; requirements; application fee

Indiana § 27-8-16-5.2

Title 27INSURANCE

Art. 8LIFE, ACCIDENT, AND HEALTH

Ch. 16Medical Claims Review

This text of Indiana § 27-8-16-5.2 (Certificate of registration; application; requirements; application fee) 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 § 27-8-16-5.2 (2026).

Text

2.

(a)A person may not act as a claim review consultant concerning health care services delivered to an enrollee in Indiana unless the person holds a certificate of registration issued by the department under this chapter.

(b)To obtain a certificate of registration under this chapter, a person must submit to the department an application containing the following:

(1)The name, address, telephone number, and normal business hours of the person.

(2)The name and telephone number of a person that the department may contact concerning the information in the application.

(3)Documentation necessary for the department to determine that the person is capable of satisfying the minimum requirements set forth in this chapter.

(c)An application submitted under this section must be:

(1)signed and

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2. (a) A person may not act as a claim review
consultant concerning health care services delivered to an enrollee in
Indiana unless the person holds a certificate of registration issued by
the department under this chapter.
(b) To obtain a certificate of registration under this chapter, a person
must submit to the department an application containing the following:
(1) The name, address, telephone number, and normal business
hours of the person.
(2) The name and telephone number of a person that the
department may contact concerning the information in the
application.
(3) Documentation necessary for the department to determine that
the person is capable of satisfying the minimum requirements set
forth in this chapter.
(c) An application submitted under this section must be:
(1) signed and verified by the applicant; and
(2) accompanied by an application fee in the amount established
under subsection (d).
The commissioner shall deposit an application fee collected under this
subsection into the department of insurance fund established by IC 27-1-3-28.
(d) The department shall set the amount of the application fee
required by subsection (c) and section 6(a) of this chapter in the rules
adopted under section 14 of this chapter. The amount may not be more
than is reasonably necessary to generate revenue sufficient to offset the
costs incurred by the department in carrying out the department's
responsibilities under this chapter.
(e) The department shall issue a certificate of registration to a claim
review consultant that satisfies the requirements of this section.