Indiana Code 27-8-5.7-11. Claim overpayment adjustment
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Sec. 11. Every subsequent claim that is adjusted by an insurer for reimbursement on an overpayment of a previous provider claim made to the provider must be accompanied by an explanation of the reason for the adjustment, including:
(A) the claim on which the overpayment was made; and
(1) an identification of:
Terms Used In Indiana Code 27-8-5.7-11
- insurer: means an insurance company issued a certificate of authority in Indiana to issue accident and sickness insurance policies. See Indiana Code 27-8-5.7-3
- provider: has the meaning set forth in IC 27-8-11-1. See Indiana Code 27-8-5.7-4
(B) if ascertainable, the party financially responsible for the overpaid amount; and
(2) the amount of the overpayment that is being reimbursed to the insurer through the adjusted subsequent claim.
As added by P.L.55-2006, SEC.2.