Indiana Statutes

§ 27-8-16-9 — Provider's statement; documentation of review agent capability

Indiana·Title 27 INSURANCE·Art. 8 LIFE, ACCIDENT, AND HEALTH·Ch. 16 Medical Claims Review

To provide documentation demonstrating that a claim review agent is capable of satisfying the requirement of section 7(6) of this chapter, the claim review agent must provide a signed statement of a provider employed by the claim review agent verifying that determinations are:

(1)made by; or
(2)determined in accordance with standards or guidelines approved by; a provider licensed in the same discipline as the provider who rendered the service.

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Legislative History

As added by P.L.128-1992, SEC.2.

Nearby Sections

15
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