Sec. 9. Every subsequent claim that is adjusted by a health maintenance organization for reimbursement on an overpayment of a previous provider claim made to the provider must be accompanied by an explanation of the reason for the adjustment, including:
(1) an identification of:
(A) the claim on which the overpayment was made; and
(B) if ascertainable, the party financially responsible for the amount overpaid; and
(2) the amount of the overpayment that is being reimbursed to the health maintenance organization through the adjusted subsequent claim.
As added by P.L.55-2006, SEC.4.
Structure Indiana Code
Article 13. Health Maintenance Organizations
Chapter 36.2. Provider Payment
27-13-36.2-1. "Clean Claim" Defined
27-13-36.2-2. "Health Maintenance Organization" Defined
27-13-36.2-3. Notice of Deficiencies in Claims
27-13-36.2-4. Payment or Denial of Claims; Interest