Chapter
Health Care Service Prior Authorization
- Ind. Code § 27-1-37.5-1— Application of chapter
- Ind. Code § 27-1-37.5-1.5— "Adverse determination"
- Ind. Code § 27-1-37.5-1.6— "Authorization"
- Ind. Code § 27-1-37.5-1.7— "Clinical peer"
- Ind. Code § 27-1-37.5-1.8— "Clinical criteria"
- Ind. Code § 27-1-37.5-1.9— "Cosmetic surgery"
- Ind. Code § 27-1-37.5-2— "Covered individual"
- Ind. Code § 27-1-37.5-3— "CPT code"
- Ind. Code § 27-1-37.5-3.7— "Emergency health care service"
- Ind. Code § 27-1-37.5-3.8— "Episode of care"
- Ind. Code § 27-1-37.5-3.9— "Health care provider"
- Ind. Code § 27-1-37.5-4— "Health care service"
- Ind. Code § 27-1-37.5-5— "Health plan"
- Ind. Code § 27-1-37.5-5.4— "Medically necessary"
- Ind. Code § 27-1-37.5-6— "Participating provider"
- Ind. Code § 27-1-37.5-7— "Prior authorization"
- Ind. Code § 27-1-37.5-8— Repealed
- Ind. Code § 27-1-37.5-8.1— "Urgent health care service"
- Ind. Code § 27-1-37.5-8.3— "Utilization review entity"
- Ind. Code § 27-1-37.5-9— Repealed
- Ind. Code § 27-1-37.5-10— Request for prior authorization; electronic transmission or application programming interface; standardized form
- Ind. Code § 27-1-37.5-11— Repealed
- Ind. Code § 27-1-37.5-12— Claim for which prior authorization was given; denial; resubmission of claim
- Ind. Code § 27-1-37.5-13— Unanticipated, medically necessary health care service
- Ind. Code § 27-1-37.5-13.5— State employee health plan prohibited from requiring prior authorization for certain CPT codes; retroactive denial; review of impact
- Ind. Code § 27-1-37.5-13.7— Limitations on prior authorization requirements for physical therapy or chiropractic visits
- Ind. Code § 27-1-37.5-14— Contrary contract provision void
- Ind. Code § 27-1-37.5-15— Violation of chapter
- Ind. Code § 27-1-37.5-16— Department of insurance; standardized prior authorization form
- Ind. Code § 27-1-37.5-17— Peer to peer review; request
- Ind. Code § 27-1-37.5-19— Publishing prior authorization requirements and restrictions and information about prior authorization approvals and denials; implementing new or amending current prior authorization requirements or restrictions; annual report
- Ind. Code § 27-1-37.5-20— Use of clinical peer when an adverse determination is made or when reviewing or deciding an appeal
- Ind. Code § 27-1-37.5-21— Clinical peer's duty to a covered individual
- Ind. Code § 27-1-37.5-23— Request for prior authorization; process
- Ind. Code § 27-1-37.5-24— Emergency admission or provision of emergency health care services
- Ind. Code § 27-1-37.5-25— Limitation on a utilization review entity's authority to revoke, limit, condition, or restrict an authorization
- Ind. Code § 27-1-37.5-26— Authorization periods
- Ind. Code § 27-1-37.5-27— Utilization review entity's duty to honor certain authorizations
- Ind. Code § 27-1-37.5-28— Automatic authorization for failure to comply with deadlines or requirements