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Current as of January 02, 2024 | Updated by Findlaw Staff
Sec. 27. (a) A utilization review entity shall honor an authorization that was granted to a covered individual by a previous utilization review entity for at least the initial ninety (90) days of the covered individual's coverage under a new health plan if:
(1) the utilization review entity receives information documenting the authorization from the covered individual or the covered individual's health care provider; and
(2) the authorization is for a health care service that is covered under the new health plan.
(b) During the time period described in subsection (a), a utilization review entity may perform its own review of the prior authorization request.
(c) If there is a change in:
(1) coverage of; or
(2) approval criteria for;
a previously authorized health care service, the change in coverage or approval criteria may not affect a covered individual who received authorization before the effective date of the change for the remainder of the plan year.
(d) A utilization review entity shall continue to honor an authorization that the utilization review entity granted to a covered individual when the covered individual changes products under the same health insurance company.
Cite this article: FindLaw.com - Indiana Code Title 27. Insurance § 27-1-37.5-27 - last updated January 02, 2024 | https://codes.findlaw.com/in/title-27-insurance/in-code-sect-27-1-37-5-27/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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