22-3-7.2-4. “Medical Service Provider”
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.
22-3-7.2-5. Notice of Deficiencies in Claims
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, […]
22-3-7.2-6. Payment or Denial of Claims; Interest
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 […]
22-3-7.2-7. Permitted Forms
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.