Indiana Code 27-13-9-7. Electronic data base requirements; rulemaking authority
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Sec. 7. (a) The electronic data base by which a health maintenance organization or by which a third party administrator of benefits and health care services offered under a health maintenance organization contract allows an enrollee or a provider to verify an enrollee’s coverage or benefits under a health maintenance organization contract must include the following information for each enrollee:
(A) the health maintenance organization; or
(1) Whether benefits and health care services under the health maintenance organization contract are provided by:
Terms Used In Indiana Code 27-13-9-7
- Contract: A legal written agreement that becomes binding when signed.
(B) a third party administrator.
(2) Whether the health maintenance organization contract is a self-funded or fully-funded plan.
(b) The department shall adopt rules under IC 4-22-2 to ensure compliance with this section.
As added by P.L.111-2020, SEC.15.