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2024 Indiana Code
Title 27. Insurance
Article 8. Life, Accident, and Health
Chapter 5.7. Accident and Sickness Insurance; Provider Payment
27-8-5.7-5. Notice of Deficiencies in Claims
Universal Citation:
IN Code § 27-8-5.7-5 (2024)
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Sec. 5. (a) An insurer shall pay or deny each clean claim in accordance with sections 6 and 6.5 of this chapter.
(b) An insurer 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 an insurer to notify a provider as required under subsection (b) establishes the submitted claim as a clean claim.
As added by P.L.162-2001, SEC.5. Amended by P.L.137-2002, SEC.2; P.L.190-2023, SEC.27.
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