Sec. 2. (a) Subject to subsection (b), an insurer shall furnish records or information pertaining to the coverage of an individual for the individual's medical costs under an individual or a group policy or other obligation, or the medical benefits paid or claims made under a policy or an obligation, if the office or its agent does the following:
(1) Requests the information electronically or by United States mail.
(2) Certifies that the individual is:
(A) a Medicaid applicant or recipient; or
(B) a person who is legally responsible for the applicant or recipient.
(b) The office may request only the records or information necessary to determine whether insurance benefits have been or should have been claimed and paid with respect to items of medical care and services that were received by a particular individual and for which Medicaid coverage would otherwise be available.
[Pre-1992 Revision Citation: 12-1-7-24.1(b).]
As added by P.L.2-1992, SEC.9. Amended by P.L.187-2007, SEC.4; P.L.234-2007, SEC.209; P.L.3-2008, SEC.94.
Structure Indiana Code
12-15-29-1. Insurers; Authorization to Release Information
12-15-29-2. Requests for Information From Insurers; Limitation
12-15-29-3. Guidelines for Information Requests
12-15-29-4. Direct Payments by Insurers to Office; Amount of Payments
12-15-29-4.5. Insurer's Acceptance of Medicaid Claims
12-15-29-6. Payment by Insurer to Office; Discharge of Obligation
12-15-29-8. Unlawful Insurance Clause
12-15-29-9. State's Acquisition of Person's Right to Payment
12-15-29-10. Employer Sponsored Health Insurance to Include Coverage for Child