Indiana § 27-8-17-13 Physician's statement; documentation of review agent capability

Indiana Statutes

§ 27-8-17-13 — Physician's statement; documentation of review agent capability

Indiana § 27-8-17-13

Title 27INSURANCE

Art. 8LIFE, ACCIDENT, AND HEALTH

Ch. 17Health Care Utilization Review

This text of Indiana § 27-8-17-13 (Physician's statement; documentation of review agent capability) 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 § 27-8-17-13 (2026).

Text

To provide documentation demonstrating
that a utilization review agent is capable of satisfying the requirement
of section 11(7) of this chapter, as required by section 9(b)(3) of this
chapter, the utilization review agent may provide a signed statement of
a physician employed by or under contract to the utilization review
agent verifying that determinations made by the utilization review
agent as to the necessity or appropriateness of admissions, services, and
procedures are reviewed by a physician or determined in accordance
with standards or guidelines approved by a physician.

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To provide documentation demonstrating
that a utilization review agent is capable of satisfying the requirement
of section 11(7) of this chapter, as required by section 9(b)(3) of this
chapter, the utilization review agent may provide a signed statement of
a physician employed by or under contract to the utilization review
agent verifying that determinations made by the utilization review
agent as to the necessity or appropriateness of admissions, services, and
procedures are reviewed by a physician or determined in accordance
with standards or guidelines approved by a physician.