Sec. 5. (a) An enrollee or a subscriber may file a grievance orally or in writing.
(b) A health maintenance organization shall make available to enrollees and subscribers a toll free telephone number through which grievances may be filed. The toll free number must:
(1) be staffed by a qualified representative of the health maintenance organization;
(2) be available for at least forty (40) normal business hours per week; and
(3) accept grievances in the languages of the major population groups served.
(c) A grievance is considered to be filed on the first date it is received, either by telephone or in writing.
As added by P.L.191-1997, SEC.7.
Structure Indiana Code
Article 13. Health Maintenance Organizations
Chapter 10. Grievance Procedures
27-13-10-1. Establishment of Procedures
27-13-10-2. Examination by Commissioner
27-13-10-3. Records of Grievances
27-13-10-4. Notice of Grievance Related Information
27-13-10-5. Filing; Oral or Written Grievance; Telephone Number; Date
27-13-10-6. Filing; Procedures; Representative
27-13-10-7. Resolution of Grievances
27-13-10-8. Appeals of Grievance Decisions; Filing of Report for Violation
27-13-10-11. Action Against Provider Representing Enrollee or Subscriber