Indiana § 27-8-5.7-5 Notice of deficiencies in claims

Indiana Statutes

§ 27-8-5.7-5 — Notice of deficiencies in claims

Indiana § 27-8-5.7-5

Title 27INSURANCE

Art. 8LIFE, ACCIDENT, AND HEALTH

Ch. 5.7Accident and Sickness Insurance; Provider Payment

This text of Indiana § 27-8-5.7-5 (Notice of deficiencies in claims) 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 § 27-8-5.7-5 (2026).

Text

(a)An insurer shall pay or deny each clean claim in accordance with sections 6 and 6.5 of this chapter.

(b)An insurer shall notify a provider of any deficiencies in a submitted claim not more than:

(1)thirty (30) days for a claim that is filed electronically; or

(2)forty-five (45) days for a claim that is filed on paper; and describe any remedy necessary to establish a clean claim.

(c)Failure of an insurer to notify a provider as required under subsection (b) establishes the submitted claim as a clean claim.

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(a) An insurer shall pay or deny each clean
claim in accordance with sections 6 and 6.5 of this chapter.
(b) An insurer shall notify a provider of any deficiencies in a
submitted claim not more than:
(1) thirty (30) days for a claim that is filed electronically; or
(2) forty-five (45) days for a claim that is filed on paper;
and describe any remedy necessary to establish a clean claim.
(c) Failure of an insurer to notify a provider as required under
subsection (b) establishes the submitted claim as a clean claim.