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Indiana Code Title 27. Insurance § 27-13-36.2-3

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

Sec. 3. (a) A health maintenance organization shall pay or deny each clean claim in accordance with section 4 of this chapter.

(b) A health maintenance organization 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 a health maintenance organization to notify a provider as required under subsection (b) establishes the submitted claim as a clean claim.

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Cite this article: FindLaw.com - Indiana Code Title 27. Insurance § 27-13-36.2-3 - last updated January 02, 2024 | https://codes.findlaw.com/in/title-27-insurance/in-code-sect-27-13-36-2-3/

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