Effective 1-1-2023. Sec. 1. As used in this chapter, “clean claim” means a claim submitted by a medical service provider for payment under IC 22-3-2 through IC 22-3-7 that has no defect, impropriety, or particular circumstance requiring special treatment preventing payment. As added by P.L.160-2022, SEC.10.
Effective 1-1-2023. Sec. 1. As used in this chapter, “clean claim” means a claim submitted by a medical service provider for payment under IC 22-3-2 through IC 22-3-7 that has no defect, impropriety, or particular circumstance requiring special treatment preventing payment. As added by P.L.160-2022, SEC.10.
Effective 1-1-2023. Sec. 2. As used in this chapter, “payor” means an employer or an employer’s insurance carrier that is liable for a claim for a service or product under IC 22-3-2 through IC 22-3-7. As added by P.L.160-2022, SEC.10.
Effective 1-1-2023. Sec. 2. As used in this chapter, “payor” means an employer or an employer’s insurance carrier that is liable for a claim for a service or product under IC 22-3-2 through IC 22-3-7. As added by P.L.160-2022, SEC.10.
Effective 1-1-2023. Sec. 3. As used in this chapter, “medical service facility” means any of the following that provides a service or product under IC 22-3-2 through IC 22-3-7 and uses the CMS 1450 (UB-04) form or the CMS 1500 (HCFA-1500) form for Medicare reimbursement: (1) An ambulatory outpatient surgical center (as defined in IC […]
Effective 1-1-2023. Sec. 3. As used in this chapter, “medical service facility” means any of the following that provides a service or product under IC 22-3-2 through IC 22-3-7 and uses the CMS 1450 (UB-04) form or the CMS 1500 (HCFA-1500) form for Medicare reimbursement: (1) An ambulatory outpatient surgical center (as defined in IC […]
Effective 1-1-2023. Sec. 4. As used in this chapter, “medical service provider” means a person or an entity that provides services or products to an employee under IC 22-3-2 through IC 22-3-7. Except as otherwise provided in this chapter, the term includes a medical service facility. As added by P.L.160-2022, SEC.10.
Effective 1-1-2023. Sec. 4. As used in this chapter, “medical service provider” means a person or an entity that provides services or products to an employee under IC 22-3-2 through IC 22-3-7. Except as otherwise provided in this chapter, the term includes a medical service facility. As added by P.L.160-2022, SEC.10.
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, […]
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, […]
Effective 1-1-2023. Sec. 6. (a) A payor shall pay or deny each clean claim as follows: (1) If the claim is filed electronically, not more than thirty (30) days after the date the claim is received by the payor. (2) If the claim is filed on paper, not more than forty-five (45) days after the […]
Effective 1-1-2023. Sec. 6. (a) A payor shall pay or deny each clean claim as follows: (1) If the claim is filed electronically, not more than thirty (30) days after the date the claim is received by the payor. (2) If the claim is filed on paper, not more than forty-five (45) days after the […]
Effective 1-1-2023. Sec. 7. A medical service provider shall submit only the following forms for payment by a payor: (1) CMS 1450 (UB-04). (2) CMS 1500 (HCFA-1500). (3) American Dental Association (ADA) claim form. As added by P.L.160-2022, SEC.10.
Effective 1-1-2023. Sec. 7. A medical service provider shall submit only the following forms for payment by a payor: (1) CMS 1450 (UB-04). (2) CMS 1500 (HCFA-1500). (3) American Dental Association (ADA) claim form. As added by P.L.160-2022, SEC.10.
