Indiana Code > Title 27 > Article 13 > Chapter 36.2


§ 27-13-36.2-1	“Clean claim” defined
§ 27-13-36.2-2	“Health maintenance organization” defined
§ 27-13-36.2-3	Notice of deficiencies in claims
§ 27-13-36.2-4	Payment or denial of claims; interest
§ 27-13-36.2-4.5	Prohibition on altering CPT code for claim; exceptions
§ 27-13-36.2-5	Permitted forms
§ 27-13-36.2-6	Civil penalties
§ 27-13-36.2-8	Claim payment errors
§ 27-13-36.2-9	Claim overpayment adjustment

Ask an insurance law question, get an answer ASAP!
Click here to chat with a lawyer about your rights.

clean claim: means a claim submitted by a provider for payment for health care services provided to an enrollee that has no defect, impropriety, or particular circumstance requiring special treatment preventing payment. See Indiana Code 27-13-36.2-1
Contract: A legal written agreement that becomes binding when signed.
Fraud: Intentional deception resulting in injury to another.
health maintenance organization: includes :
Indiana Code 27-13-36.2-2
Interest rate: The amount paid by a borrower to a lender in exchange for the use of the lender's money for a certain period of time. Interest is paid on loans or on debt instruments, such as notes or bonds, either at regular intervals or as part of a lump sum payment when the issue matures. ^{Source: OCC}
medical record: means written or printed information possessed by a provider (as defined in IC 16-18-2-295) concerning any diagnosis, treatment, or prognosis of the patient, unless otherwise defined. See Indiana Code 1-1-4-5
Year: means a calendar year, unless otherwise expressed. See Indiana Code 1-1-4-5

LawServer