Sec. 3. (a) An enrollee who files an appeal under this chapter shall:
(1) not be subject to retaliation for exercising the enrollee's right to an appeal under this chapter;
(2) be permitted to utilize the assistance of other individuals, including physicians, attorneys, friends, and family members throughout the review process;
(3) be permitted to submit additional information relating to the proposed service throughout the review process; and
(4) cooperate with the independent review organization by:
(A) providing any requested medical information; or
(B) authorizing the release of necessary medical information.
(b) A health maintenance organization shall cooperate with an independent review organization selected under section 2 of this chapter by promptly providing any information requested by the independent review organization.
As added by P.L.133-1999, SEC.7.
Structure Indiana Code
Article 13. Health Maintenance Organizations
Chapter 10.1. External Review of Grievances
27-13-10.1-0.1. Application of Chapter
27-13-10.1-1. External Grievance Procedure Established
27-13-10.1-2. Requirements of Procedure
27-13-10.1-3. Cooperation With Review Organization; Requirements of Enrollee
27-13-10.1-4. Requirements of Independent Review Organization
27-13-10.1-4.5. Information From Independent Review Organization
27-13-10.1-5. Determination Binding on Health Maintenance Organization
27-13-10.1-6. Reconsideration of Resolution
27-13-10.1-7. Terms of Coverage Unchanged
27-13-10.1-8. Certification of Independent Review Organizations
27-13-10.1-10. Immunity From Civil Liability