Indiana Code 27-1-37.6-6. “Fixed fee schedule”
Current as of: 2024 | Check for updates
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Sec. 6. As used in this chapter, “fixed fee schedule” means a total listing of fees used by a health plan to reimburse health care providers or facilities whether:
(2) the health plan provides the fixed fee schedule to the health care provider.
(1) the fixed fee schedule is based on or equal to Medicare reimbursement for the same health care service; or
Terms Used In Indiana Code 27-1-37.6-6
- fixed fee schedule: means a total listing of fees used by a health plan to reimburse health care providers or facilities whether:
Indiana Code 27-1-37.6-6
- health care provider: means an individual or entity that is:
Indiana Code 27-1-37.6-7
- health care service: means a medical or surgical service for the diagnosis, prevention, treatment, cure, or relief of illness, injury, or disease that is measured at the diagnosis and procedure level for an individual health care provider. See Indiana Code 27-1-37.6-8
- health plan: means any of the following:
Indiana Code 27-1-37.6-9
As added by P.L.203-2023, SEC.19.