Health Care Service Prior Authorization

  1. Law
  2. Indiana Code
  3. Insurance
  4. Department of Insurance
  5. Health Care Service Prior Authorization

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Section
27-1-37.5-1

Application of Chapter

Section
27-1-37.5-2

"Covered Individual"

Section
27-1-37.5-3

"Cpt Code"

Section
27-1-37.5-4

"Health Care Service"

Section
27-1-37.5-5

"Health Plan"

Section
27-1-37.5-6

"Participating Provider"

Section
27-1-37.5-7

"Prior Authorization"

Section
27-1-37.5-8

"Urgent Care Situation"

Section
27-1-37.5-9

Availability of Prior Authorization Information; Requirements; New Requirements; Address Change; Notices

Section
27-1-37.5-10

Request for Prior Authorization; Electronic Transmission; Standardized Form

Section
27-1-37.5-11

Response to Request for Prior Authorization; Timing; Incomplete Request

Section
27-1-37.5-12

Claim for Which Prior Authorization Was Given; Denial; Resubmission of Claim

Section
27-1-37.5-13

Unanticipated, Medically Necessary Health Care Service; Denial; Payment for Health Care Service With Prior Authorization

Section
27-1-37.5-14

Contrary Contract Provision Void

Section
27-1-37.5-15

Violation of Chapter

Section
27-1-37.5-16

Department of Insurance; Standardized Prior Authorization Form