Medical Claims Review

  1. Law
  2. Indiana Code
  3. Insurance
  4. Life, Accident, and Health
  5. Medical Claims Review

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Section
27-8-16-0.5

Applicability of Chapter

Section
27-8-16-1

"Claim Review Agent" Defined

Section
27-8-16-1.5

"Claim Review Consultant" Defined

Section
27-8-16-2

"Department" Defined

Section
27-8-16-3

"Enrollee" Defined

Section
27-8-16-4

"Medical Claims Review" Defined

Section
27-8-16-4.5

"Person" Defined

Section
27-8-16-5

Certificate of Registration; Issuance to Agent

Section
27-8-16-5.2

Certificate of Registration; Application; Requirements; Application Fee

Section
27-8-16-6

Certificate of Registration; Renewal; Transfer; Notice of Change in Information

Section
27-8-16-7

Minimum Claim Review Agent Requirements

Section
27-8-16-8

Appeals Procedure; Written Description; Minimum Standards; Notice of Appeal Procedure on Limitation or Reduction of Benefits

Section
27-8-16-9

Provider's Statement; Documentation of Review Agent Capability

Section
27-8-16-9.5

Claim Determinations Based on Data Base Information

Section
27-8-16-10

Fraudulent or Misleading Information; Penalties

Section
27-8-16-11

Prohibited Bases for Compensation of Claim Review Agents and Consultants

Section
27-8-16-12

Violations; Claims Review Agent; Notice; Cease and Desist Orders; Penalties; Revocation or Suspension of Registration; Review

Section
27-8-16-13

Confidential Information

Section
27-8-16-14

Rules