§ 5-10-8.1-7 — Payment or denial of claims; interest

Indiana § 5-10-8.1-7

• Jurisdiction: Indiana
• Title 5: STATE AND LOCAL ADMINISTRATION
• Art. 10: PUBLIC EMPLOYEE BENEFITS
• Ch. 8.1: State Employee Health Benefits; Provider Payment

Text

(a) The administrator shall pay or deny each
clean claim as follows:
(1) If the claim is filed electronically, not more than thirty (30)
days after the date the claim is received by the administrator.
(2) If the claim is filed on paper, not more than forty-five (45)
days after the date the claim is received by the administrator.
(b) If:
(1) the administrator fails to pay or deny a clean claim in the time
required under subsection (a); and
(2) the administrator subsequently pays the claim;
the administrator shall pay the provider that submitted the claim
interest on the health benefit plan allowable amount of the claim paid
under this section.
(c) Interest paid under subsection (b):
(1) accrues beginning:
(A) thirty-one (31) days after the date the claim is filed under
subsection (a)(1); or
(B) forty-six (46) days after the date the claim is filed under
subsection (a)(2); and
(2) stops accruing on the date the claim is paid.
(d) In paying interest under subsection (b), the administrator shall
use the same interest rate as provided in IC 12-15-21-3(7)(A).

Legislative History

As added by P.L.162-2001, SEC.1.