Indiana Statutes

§ 27-8-16-9.5 — Claim determinations based on data base information

Indiana § 27-8-16-9.5
JurisdictionIndiana
Title 27INSURANCE
Art. 8LIFE, ACCIDENT, AND HEALTH
Ch. 16Medical Claims Review

This text of Indiana § 27-8-16-9.5 (Claim determinations based on data base information) 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 § 27-8-16-9.5 (2026).

Text

5.

(a)As used in this section, "data base" means a data base that provides information concerning health care services or amounts charged for health care services.
(b)If a claim review agent bases a medical claims review determination concerning a health care service provided by a hospital licensed under IC 12-25 or IC 16-21 in whole or in part on information obtained from a data base, the information must relate exclusively to services provided by a hospital licensed under IC 12-25 or IC 16-21.
(c)If a claim review consultant makes a recommendation or provides consultation concerning the appropriateness of or the amount charged for services provided by a hospital licensed under IC 12-25 or IC 16-21 based in whole or in part on information obtained from a data base, the information must

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Legislative History

As added by P.L.260-1995, SEC.7.

Nearby Sections

15
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Bluebook (online)
Indiana § 27-8-16-9.5, Counsel Stack Legal Research, https://law.counselstack.com/statute/in/27-8-16-9.5.