Terms Used In Indiana Code > Title 27 > Article 8 > Chapter 5.7 - Accident and Sickness Insurance; Provider Payment

• accident and sickness insurance policy: has the meaning set forth in IC 27-8-5-1. See Indiana Code 27-8-5.7-1
• clean claim: means a claim submitted by a provider for payment under an accident and sickness insurance policy issued in Indiana that has no defect, impropriety, or particular circumstance requiring special treatment preventing payment. See Indiana Code 27-8-5.7-2
• Contract: A legal written agreement that becomes binding when signed.
• CPT code: refers to the medical billing code that applies to a specific health care service, as published in the Current Procedural Terminology code set maintained by the American Medical Association. See Indiana Code 27-8-5.7-2.5
• Fraud: Intentional deception resulting in injury to another.
• 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
• 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
• provider: has the meaning set forth in IC 27-8-11-1. See Indiana Code 27-8-5.7-4
• Year: means a calendar year, unless otherwise expressed. See Indiana Code 1-1-4-5