§ 25-1-9.8-1 “Covered individual”
§ 25-1-9.8-1.5 “Episode of care”
§ 25-1-9.8-2 “Good faith estimate”
§ 25-1-9.8-3 “Health carrier”
§ 25-1-9.8-4 “In network”
§ 25-1-9.8-5 “Network”
§ 25-1-9.8-6 “Network plan”
§ 25-1-9.8-7 “Nonemergency health care service”
§ 25-1-9.8-8 “Practitioner”
§ 25-1-9.8-8.5 “Price”
§ 25-1-9.8-9 “Provider”
§ 25-1-9.8-10 “Provider facility”
§ 25-1-9.8-11 Applicability; request for good faith estimate; requirements
§ 25-1-9.8-12 In network good faith estimates; out of network good faith estimates
§ 25-1-9.8-13 Provision of good faith estimate
§ 25-1-9.8-14 Good faith estimate requirements; information health carrier and provider must provide to practitioner; when practitioner not subject to penalties
§ 25-1-9.8-15 Provision of information by practitioner to provider facility
§ 25-1-9.8-16 Practitioner duty to give written notice of individual’s right to an estimate; rules
§ 25-1-9.8-17 Medicare good faith estimates
§ 25-1-9.8-18 Practitioner or provider facility communication about right to good faith estimate by at least three means; required contents
§ 25-1-9.8-19 Action by appropriate board concerning good faith estimate or communication about right to estimate
§ 25-1-9.8-20 Compliance with federal requirements
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Terms Used In Indiana Code > Title 25 > Article 1 > Chapter 9.8 - Practitioner Good Faith Estimates

  • Contract: A legal written agreement that becomes binding when signed.
  • covered individual: means an individual who is entitled to be provided health care services according to a health carrier's network plan. See Indiana Code 25-1-9.8-1
  • episode of care: means the medical care ordered to be provided for a specific medical procedure, condition, or illness. See Indiana Code 25-1-9.8-1.5
  • good faith estimate: means a reasonable estimate of the price each provider anticipates charging for an episode of care for nonemergency health care services that:

    Indiana Code 25-1-9.8-2

  • health carrier: means an entity:

    Indiana Code 25-1-9.8-3

  • in network: when used in reference to a practitioner, means that the health care services provided by the practitioner are subject to a health carrier's network plan. See Indiana Code 25-1-9.8-4
  • network: means a group of provider facilities and practitioners that:

    Indiana Code 25-1-9.8-5

  • network plan: means a plan of a health carrier that:

    Indiana Code 25-1-9.8-6

  • nonemergency health care service: means a discrete service or series of services ordered by a practitioner for an episode of care for the:

    Indiana Code 25-1-9.8-7

  • practitioner: means the following:

    Indiana Code 25-1-9.8-8

  • price: means the negotiated rate between the:

    Indiana Code 25-1-9.8-8.5

  • provider: means :

    Indiana Code 25-1-9.8-9

  • provider facility: means any of the following:

    Indiana Code 25-1-9.8-10