Sec. 5. (a) As used in this chapter, "network" means a group of provider facilities and practitioners that:
(1) provide health care services to covered individuals; and
(2) have agreed to, or are otherwise subject to, maximum limits on the prices for the health care services to be provided to the covered individuals.
(b) The term includes the following:
(1) A network described in subsection (a) that is established pursuant to a contract between an insurer providing coverage under a group health policy and:
(A) individual provider facilities and practitioners;
(B) a preferred provider organization; or
(C) an entity that employs or represents providers, including:
(i) an independent practice association; and
(ii) a physician-hospital organization.
(2) A health maintenance organization, as defined in IC 27-13-1-19.
As added by P.L.93-2020, SEC.12.
Structure Indiana Code
Article 1. Department of Insurance
Chapter 46. Provider Facility Good Faith Estimates
27-1-46-0.5. Provision of Information by Certain Health Plans
27-1-46-1. "Covered Individual"
27-1-46-1.5. "Episode of Care"
27-1-46-2. "Good Faith Estimate"
27-1-46-7. "Nonemergency Health Care Service"
27-1-46-10. "Provider Facility"
27-1-46-10-b. "Provider Facility"
27-1-46-10.5. "Urgent Care Facility"
27-1-46-12. In Network Good Faith Estimates; Out of Network Good Faith Estimates
27-1-46-13. Provision of Good Faith Estimates
27-1-46-16. Good Faith Estimate Request From Patient Eligible for Medicare