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12-15-11.5-6. Claim for reimbursement treated as disputed claim

IN Code § 12-15-11.5-6 (2019) (N/A)
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Sec. 6. A claim for reimbursement for services shall be treated as a disputed claim under this chapter if:

(1) it is submitted within one hundred twenty (120) days after the date that services are rendered;

(2) it is denied by the managed care organization;

(3) the hospital submits a written notice of dispute for the claim to the managed care organization not more than sixty (60) days after the receipt of the denial notice;

(4) it is appealed in accordance with the managed care organization's internal appeals process; and

(5) payment for the claim is denied by the managed care organization following its internal appeals process.

As added by P.L.142-2000, SEC.2. Amended by P.L.152-2017, SEC.9.

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