Chapter
Medical Claims Review
- Ind. Code § 27-8-16-0.5— Applicability of chapter
- Ind. Code § 27-8-16-1— "Claim review agent" defined
- Ind. Code § 27-8-16-1.5— "Claim review consultant" defined
- Ind. Code § 27-8-16-2— "Department" defined
- Ind. Code § 27-8-16-3— "Enrollee" defined
- Ind. Code § 27-8-16-4— "Medical claims review" defined
- Ind. Code § 27-8-16-4.5— "Person" defined
- Ind. Code § 27-8-16-5— Certificate of registration; issuance to agent
- Ind. Code § 27-8-16-5.2— Certificate of registration; application; requirements; application fee
- Ind. Code § 27-8-16-6— Certificate of registration; renewal; transfer; notice of change in information
- Ind. Code § 27-8-16-7— Minimum claim review agent requirements
- Ind. Code § 27-8-16-8— Appeals procedure; written description; minimum standards; notice of appeal procedure on limitation or reduction of benefits
- Ind. Code § 27-8-16-9— Provider's statement; documentation of review agent capability
- Ind. Code § 27-8-16-9.5— Claim determinations based on data base information
- Ind. Code § 27-8-16-10— Fraudulent or misleading information; penalties
- Ind. Code § 27-8-16-11— Prohibited bases for compensation of claim review agents and consultants
- Ind. Code § 27-8-16-12— Violations; claims review agent; notice; cease and desist orders; penalties; revocation or suspension of registration; review
- Ind. Code § 27-8-16-13— Confidential information
- Ind. Code § 27-8-16-14— Rules