IN Code §27-1-37.5-12(a-b)
October 15, 2021 6:23 am(a) This section applies to a claim for a health care service rendered by a participating provider: (1) for which:... View more
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IN Code §27-8-5.7-10(a)
October 15, 2021 6:16 am(a) An insurer may not, more than two (2) years after the date on which an overpayment on a provider... View more
IN Code §27-13-10-8(f)
October 15, 2021 6:15 am(f) A health maintenance organization shall notify the enrollee or subscriber in writing of the resolution of the appeal of... View more
IN Code §27-13-36-9(c)(1)
October 15, 2021 6:09 am(c) As described in subsection (d), each health maintenance organization shall cover and reimburse expenses for care obtained in an... View more
IN Code §27-13-10-8(b)
October 15, 2021 6:07 am(b) The health maintenance organization shall appoint a panel of qualified individuals to resolve an appeal. An individual may not... View more
IN Code §27-8-24-4
October 15, 2021 6:04 am(a) Except as provided in section 5 of this chapter, every policy or group contract that provides maternity benefits must... View more
IN Code §27-8-5.7-6(b-c)
October 15, 2021 6:02 am(b) If: (1) an insurer fails to pay or deny a clean claim in the time required under subsection (a);... View more
IN Code §27-1-37.5-11(b)(3)
October 15, 2021 6:00 am(3) If the request is for a nonurgent care situation, the health plan shall respond with a prior authorization determination... View more
NV Rev Stat §695G.150
October 15, 2021 5:54 amEach managed care organization shall authorize coverage of a health care service that has been recommended for the insured by... View more
NV Rev Stat §695G.170(1-2)
October 15, 2021 5:53 am(1) Each managed care organization shall provide coverage for medically necessary emergency services provided at any hospital. (2) A managed... View more