Sec. 2. As used in this chapter, "health payer" includes the following:
(1) Medicare.
(2) Medicaid or a managed care organization (as defined in IC 12-7-2-126.9) that has contracted with Medicaid to provide services to a Medicaid recipient.
(3) An insurer that issues a policy of accident and sickness insurance (as defined in IC 27-8-5-1), except for the following types of coverage:
(A) Accident only, credit, dental, vision, long term care, or disability income insurance.
(B) Coverage issued as a supplement to liability insurance.
(C) Automobile medical payment insurance.
(D) A specified disease policy.
(E) A policy that provides indemnity benefits not based on any expense incurred requirements, including a plan that provides coverage for:
(i) hospital confinement, critical illness, or intensive care; or
(ii) gaps for deductibles or copayments.
(F) Worker's compensation or similar insurance.
(G) A student health plan.
(H) A supplemental plan that always pays in addition to other coverage.
(4) A health maintenance organization (as defined in IC 27-13-1-19).
(5) A pharmacy benefit manager (as defined in IC 27-1-24.5-12).
(6) An administrator (as defined in IC 27-1-25-1).
(7) A multiple employer welfare arrangement (as defined in IC 27-1-34-1).
(8) Any other person identified by the commissioner for participation in the data base described in this chapter.
As added by P.L.50-2020, SEC.6. Amended by P.L.32-2021, SEC.84; P.L.195-2021, SEC.4; P.L.165-2022, SEC.6.
Structure Indiana Code
Article 1. Department of Insurance
Chapter 44.5. All Payer Claims Data Base
27-1-44.5-0.2. "Administrator"
27-1-44.5-0.4. "Advisory Board"
27-1-44.5-1.2. "Executive Director"
27-1-44.5-3. Issue of Request for Information by Department; Requirements; Deadline
27-1-44.5-5. Submission of Required Data by Health Payers and State; Opt in by Employer
27-1-44.5-7. Duties of Administrator
27-1-44.5-8. Data Base Requirements
27-1-44.5-9. Duties of Executive Director