Indiana Code 27-13-36-2.5. Discrimination on basis of provider’s license or certification prohibited
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Sec. 2.5. (a) A health maintenance organization may not discriminate against a provider acting within the scope of the provider’s license or certification with respect to:
(2) reimbursement;
(1) participation;
Terms Used In Indiana Code 27-13-36-2.5
- Contract: A legal written agreement that becomes binding when signed.
- Indemnification: In general, a collateral contract or assurance under which one person agrees to secure another person against either anticipated financial losses or potential adverse legal consequences. Source: FDIC
(3) indemnification; or
(4) scope of care;
solely on the basis of the provider’s license or certification.
(b) This section does not require a health maintenance organization to enter into a contract with a provider that would allow the provider to enter the health maintenance organization network.
As added by P.L.233-1999, SEC.13.
Indiana Code 27-13-36.2-5. Permitted forms
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Sec. 5. A provider shall submit only the following forms for payment by a health maintenance organization:
(2) CMS-1450 (UB-04).
(1) CMS-1500.
Terms Used In Indiana Code 27-13-36.2-5
- health maintenance organization: includes :
Indiana Code 27-13-36.2-2
(3) American Dental Association (ADA) claim form.
As added by P.L.162-2001, SEC.6. Amended by P.L.208-2018, SEC.32.