§ 27-1-46-0.5 Provision of information by certain health plans
§ 27-1-46-1 “Covered individual”
§ 27-1-46-1.5 “Episode of care”
§ 27-1-46-2 “Good faith estimate”
§ 27-1-46-3 “Health carrier”
§ 27-1-46-4 “In network”
§ 27-1-46-5 “Network”
§ 27-1-46-6 “Network plan”
§ 27-1-46-7 “Nonemergency health care service”
§ 27-1-46-8 “Practitioner”
§ 27-1-46-8.5 “Price”
§ 27-1-46-9 “Provider”
§ 27-1-46-10 “Provider facility”
§ 27-1-46-10.5 “Urgent care facility”
§ 27-1-46-11 Right of individual to request good faith estimate from provider facility; duty of provider facility to provide estimate; required contents
§ 27-1-46-12 In network good faith estimates; out of network good faith estimates
§ 27-1-46-13 Provision of good faith estimates
§ 27-1-46-14 Requirements of good faith estimates; provision of information by health carriers and practitioners to provider facility
§ 27-1-46-15 Provider facility or practitioner duty to communicate right to good faith estimate by at least three means
§ 27-1-46-16 Good faith estimate request from patient eligible for Medicare
§ 27-1-46-17 Provider facility failure to provide estimate or communication about right to estimate; civil penalty
§ 27-1-46-18 Compliance with federal requirements
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Terms Used In Indiana Code > Title 27 > Article 1 > Chapter 46 - Provider Facility Good Faith Estimates

  • 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 according to a health carrier's network plan. See Indiana Code 27-1-46-1
  • Department: means "the department of insurance" of this state. See Indiana Code 27-1-2-3
  • episode of care: means the medical care ordered to be provided for a specific medical procedure, condition, or illness. See Indiana Code 27-1-46-1.5
  • 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 27-1-46-2

  • health carrier: means an entity:

    Indiana Code 27-1-46-3

  • in network: when used in reference to a provider, means that the health care services provided by the provider are subject to a health carrier's network plan. See Indiana Code 27-1-46-4
  • 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
  • insurer: means a company, firm, partnership, association, order, society or system making any kind or kinds of insurance and shall include associations operating as Lloyds, reciprocal or inter-insurers, or individual underwriters. See Indiana Code 27-1-2-3
  • network: means a group of provider facilities and practitioners that:

    Indiana Code 27-1-46-5

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

    Indiana Code 27-1-46-6

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

    Indiana Code 27-1-46-7

  • practitioner: means :

    Indiana Code 27-1-46-8

  • price: means the negotiated rate between the:

    Indiana Code 27-1-46-8.5

  • provider: means :

    Indiana Code 27-1-46-9

  • provider facility: means any of the following:

    Indiana Code 27-1-46-10

  • urgent care facility: means a freestanding health care facility that offers episodic, walk-in care for the treatment of acute, but not life threatening, health conditions. See Indiana Code 27-1-46-10.5
  • Verified: when applied to pleadings, means supported by oath or affirmation in writing. See Indiana Code 1-1-4-5