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Indiana Code Title 27. Insurance § 27-1-37-6

Current as of January 02, 2024 | Updated by Findlaw Staff

Sec. 6. (a) Except as provided in subsection (b), a person may not require a provider, as a condition of entering into a health provider contract for the provision of health care services other than health care services to enrollees of a health maintenance organization, to provide health care services to enrollees of a health maintenance organization.

(b) A person may require a provider, as a condition of entering into a health provider contract for the provision of health care services other than health care services to enrollees of a health maintenance organization, to provide health care services to enrollees of a health maintenance organization:

(1) in an emergency;  or

(2) upon referral.

(c) If a person requires a provider to provide health care services to enrollees of a health maintenance organization under subsection (b), the person:

(1) shall reimburse the provider at rates established under the health provider contract;  and

(2) may not require the provider to comply with the terms and conditions of the health maintenance organization.

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Cite this article: FindLaw.com - Indiana Code Title 27. Insurance § 27-1-37-6 - last updated January 02, 2024 | https://codes.findlaw.com/in/title-27-insurance/in-code-sect-27-1-37-6/

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