Health Care Utilization Review

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

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Section
27-8-17-1

"Covered Individual" Defined

Section
27-8-17-2

"Department" Defined

Section
27-8-17-3

"Enrollee" Defined

Section
27-8-17-4

"Health Maintenance Organization" Defined

Section
27-8-17-5

"Provider of Record" Defined

Section
27-8-17-6

"Utilization Review" Defined

Section
27-8-17-7

"Utilization Review Agent" Defined

Section
27-8-17-8

"Utilization Review Determination" Defined

Section
27-8-17-9

Certificate of Registration; Issuance to Agent

Section
27-8-17-10

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

Section
27-8-17-11

Minimum Utilization Review Agent Requirements

Section
27-8-17-12

Appeals Procedure

Section
27-8-17-13

Physician's Statement; Documentation of Review Agent Capability

Section
27-8-17-14

Accreditation and Approval of Review Agent; Determination; New Certificate of Registration; Order to Cease Activities

Section
27-8-17-15

Certification of Admission, Service, or Procedure; Enrollee Request; Notice and Information; Assistance; Denial Under Terms of Benefit Program

Section
27-8-17-16

Fraudulent or Misleading Information; Penalties

Section
27-8-17-17

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

Section
27-8-17-18

Confidential Information

Section
27-8-17-19

Prohibited Bases for Compensation of Agent

Section
27-8-17-20

Rules