§ 27-1-45-0.5 Not applicable to emergency services
§ 27-1-45-1 “Covered individual”
§ 27-1-45-1.5 “Emergency services”
§ 27-1-45-2 “Facility”
§ 27-1-45-3 “In network provider”
§ 27-1-45-4 “Network plan”
§ 27-1-45-5 “Practitioner”
§ 27-1-45-6 “Provider”
§ 27-1-45-7 Exception to good faith estimate requirement
§ 27-1-45-8 Out of network practitioner providing services at in network facility; conditions for reimbursement of out of network practitioner at higher rate; explanation of charge exceeding estimate; rules
§ 27-1-45-9 Civil penalty; fund
§ 27-1-45-10 Compliance with federal requirements
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Terms Used In Indiana Code > Title 27 > Article 1 > Chapter 45 - Health Facility Compensation

  • Commissioner: means the "insurance commissioner" of this state. See Indiana Code 27-1-2-3
  • Contract: A legal written agreement that becomes binding when signed.
  • covered individual: means an individual who is entitled to be provided health care services at a cost established according to a network plan. See Indiana Code 27-1-45-1
  • Department: means "the department of insurance" of this state. See Indiana Code 27-1-2-3
  • emergency services: means services that are:

    Indiana Code 27-1-45-1.5

  • facility: means an institution in which health care services are provided to individuals. See Indiana Code 27-1-45-2
  • in network provider: means a provider that is required under a network plan to provide health care services to covered individuals at not more than a preestablished rate or amount of compensation. See Indiana Code 27-1-45-3
  • Insurance: means a contract of insurance or an agreement by which one (1) party, for a consideration, promises to pay money or its equivalent or to do an act valuable to the insured upon the destruction, loss or injury of something in which the other party has a pecuniary interest, or in consideration of a price paid, adequate to the risk, becomes security to the other against loss by certain specified risks; to grant indemnity or security against loss for a consideration. See Indiana Code 27-1-2-3
  • network plan: means a plan under which providers are required by contract to provide health care services to covered individuals at not more than a preestablished rate or amount of compensation. See Indiana Code 27-1-45-4
  • practitioner: means the following:

    Indiana Code 27-1-45-5

  • provider: means :

    Indiana Code 27-1-45-6