Ind. Code § 27-1-45.2-11
This is the official text of Ind. Code § 27-1-45.2-11, part of Indiana’s Code — part of the compiled statutory law of Indiana, published by the state as "Code." Browse the sections below, each linked to its official government source.
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Notice; good faith negotiation
Official statutory text
Sec. 11. (a) If, during any ninety (90) day period, an initiating party submits requests for independent dispute resolutions that, in the aggregate, include twenty-five (25) or more qualified disputes, the health carrier may:
(1) provide written notice to the out of network provider and the facility that includes:
(A) a description of the independent dispute resolution requests that are the basis for the notice, including applicable dates of service;
(B) identification of the party involved, including the name and tax identification number, if known;
(C) the name and contact information of a representative authorized to negotiate on behalf of the health carrier; and
(D) the requirement to participate in a conference and good faith negotiation; and
(2) deliver the notice to the out of network provider and the facility by:
(A) electronic mail; and
(B) certified mail.
(b) If a health carrier provides notice under subsection (a), the health carrier, the out of network provider, and the facility shall engage in good faith efforts to negotiate a resolution not later than thirty (30) days after the notice is provided, including:
(1) at least one (1) conference between authorized representatives; and
(2) a reasonable exchange of information necessary to evaluate and address the conduct described in the notice.
(c) A conference under subsection (b) may not:
(1) adjudicate individual claims;
(2) alter rights or obligations under federal or state law; or
(3) occur more than once per calendar quarter.
As added by P.L.119-2026, SEC.1.
(1) provide written notice to the out of network provider and the facility that includes:
(A) a description of the independent dispute resolution requests that are the basis for the notice, including applicable dates of service;
(B) identification of the party involved, including the name and tax identification number, if known;
(C) the name and contact information of a representative authorized to negotiate on behalf of the health carrier; and
(D) the requirement to participate in a conference and good faith negotiation; and
(2) deliver the notice to the out of network provider and the facility by:
(A) electronic mail; and
(B) certified mail.
(b) If a health carrier provides notice under subsection (a), the health carrier, the out of network provider, and the facility shall engage in good faith efforts to negotiate a resolution not later than thirty (30) days after the notice is provided, including:
(1) at least one (1) conference between authorized representatives; and
(2) a reasonable exchange of information necessary to evaluate and address the conduct described in the notice.
(c) A conference under subsection (b) may not:
(1) adjudicate individual claims;
(2) alter rights or obligations under federal or state law; or
(3) occur more than once per calendar quarter.
As added by P.L.119-2026, SEC.1.
Status: in_force · Read it on the official government site
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