Health and Safety Code §1370.2
August 28, 2020 5:05 pmThis health care provider or the medical director shall review the appeal and, if he or she determines that he... View more
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Health and Safety Code §1371.1(a)(1)
August 28, 2020 5:10 pm(a)(1) Whenever a health care service plan, including a specialized health care service plan, determines that in reimbursing a claim for... View more
Health and Safety Code §1371.4(c)
August 28, 2020 5:09 pm(c) …a healthcare service plan shall not require a provider to obtain authorization prior to the provision of emergency services... View more
Health and Safety Code §1371.8
August 28, 2020 5:11 pmA health care service plan that authorizes a specific type of treatment by a provider shall not rescind or modify... View more
IN Code §27-1-37.5-11(b)(1-2)
October 15, 2021 6:26 am(b) A health plan shall respond to a request delivered under section 10 of this chapter as follows: (1) If... 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
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
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 §27-13-10-8(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