Indiana Code
Chapter 37.5. Health Care Service Prior Authorization
27-1-37.5-6. "Participating Provider"

Sec. 6. As used in this chapter, "participating provider" refers to the following:
(1) A health care provider that has entered into an agreement with an insurer under IC 27-8-11-3.
(2) A participating provider (as defined in IC 27-13-1-24).
As added by P.L.77-2018, SEC.2.

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Structure Indiana Code

Indiana Code

Title 27. Insurance

Article 1. Department of Insurance

Chapter 37.5. Health Care Service Prior Authorization

27-1-37.5-1. Application of Chapter

27-1-37.5-2. "Covered Individual"

27-1-37.5-3. "Cpt Code"

27-1-37.5-4. "Health Care Service"

27-1-37.5-5. "Health Plan"

27-1-37.5-6. "Participating Provider"

27-1-37.5-7. "Prior Authorization"

27-1-37.5-8. "Urgent Care Situation"

27-1-37.5-9. Availability of Prior Authorization Information; Requirements; New Requirements; Address Change; Notices

27-1-37.5-10. Request for Prior Authorization; Electronic Transmission; Standardized Form

27-1-37.5-11. Response to Request for Prior Authorization; Timing; Incomplete Request

27-1-37.5-12. Claim for Which Prior Authorization Was Given; Denial; Resubmission of Claim

27-1-37.5-13. Unanticipated, Medically Necessary Health Care Service; Denial; Payment for Health Care Service With Prior Authorization

27-1-37.5-14. Contrary Contract Provision Void

27-1-37.5-15. Violation of Chapter

27-1-37.5-16. Department of Insurance; Standardized Prior Authorization Form