Sec. 4.5. Upon the request of an enrollee who is notified under section 4(c) of this chapter that the independent review organization has made a determination, the independent review organization shall provide to the enrollee all information reasonably necessary to enable the enrollee to understand the:
(1) effect of the determination on the enrollee; and
(2) manner in which the health maintenance organization may be expected to respond to the determination.
As added by P.L.173-2007, SEC.43.
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