US Lawyer Database

For Lawyer-Seekers

YOU DESERVE THE BEST LAWYER

Effective 1-1-2023.

Sec. 5. (a) A payor shall pay or deny each clean claim in accordance with section 6 of this chapter.

(b) A payor shall notify a medical service provider of any deficiencies in a submitted claim not more than:

(1) thirty (30) days after the date the claim is received by the payor, for a claim that is filed electronically; or

(2) forty-five (45) days after the date the claim is received by the payor, for a claim that is filed on paper;

and describe any remedy necessary to establish a clean claim.

(c) Failure of a payor to notify a medical service provider as required under subsection (b) establishes the submitted claim as a clean claim.

As added by P.L.160-2022, SEC.10.