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Current as of January 02, 2024 | Updated by Findlaw Staff
Sec. 8. (a) A health plan shall:
(1) establish a procedure by which a covered individual may claim a credit under section 7 of this chapter; and
(2) identify documentation necessary to support a claim for a credit under section 7 of this chapter.
(b) A health plan may either:
(1) publish average discounted rates that the health plan has negotiated to pay health care providers for health care services; or
(2) refer to average or typical rates on the all payer claims data base established under IC 27-1-44.5;
for purposes of a covered individual claiming a credit under section 7 of this chapter.
(c) A covered individual may use the data on average or typical rates reported on the all payer claims data base established under IC 27-1-44.5 to determine the average discounted rate for a health care service under section 7 of this chapter.
Cite this article: FindLaw.com - Indiana Code Title 27. Insurance § 27-1-48.5-8 - last updated January 02, 2024 | https://codes.findlaw.com/in/title-27-insurance/in-code-sect-27-1-48-5-8/
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