Ind. Code § 27-1-52-12
This is the official text of Ind. Code § 27-1-52-12, 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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Appeal process
Official statutory text
Sec. 12. (a) An insurer shall provide providers with a clear and accessible process for appealing downcoded claims, including:
(1) a written or electronic notice detailing how to initiate an appeal;
(2) contact information for the individual managing the appeal; and
(3) a timeline for submission of an appeal that is not less than one hundred eighty (180) days.
(b) An insurer shall allow a provider to appeal in batches of similar claims involving substantially similar downcoding issues without restriction.
As added by P.L.88-2026, SEC.6.
(1) a written or electronic notice detailing how to initiate an appeal;
(2) contact information for the individual managing the appeal; and
(3) a timeline for submission of an appeal that is not less than one hundred eighty (180) days.
(b) An insurer shall allow a provider to appeal in batches of similar claims involving substantially similar downcoding issues without restriction.
As added by P.L.88-2026, SEC.6.
Status: in_force · Read it on the official government site
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