Sec. 14. (a) A covered individual who files an external grievance under this chapter:
(1) shall not be subject to retaliation for exercising the covered individual's right to an external grievance under this chapter;
(2) shall be permitted to utilize the assistance of other individuals, including health care providers, attorneys, friends, and family members throughout the review process;
(3) shall be permitted to submit additional information relating to the proposed service throughout the review process; and
(4) shall cooperate with the independent review organization by:
(A) providing any requested medical information; or
(B) authorizing the release of necessary medical information.
(b) An insurer shall cooperate with an independent review organization selected under section 13(b) of this chapter by promptly providing any information requested by the independent review organization.
As added by P.L.66-2001, SEC.3 and P.L.203-2001, SEC.14. Amended by P.L.1-2002, SEC.119.
Structure Indiana Code
Article 8. Life, Accident, and Health
Chapter 29. External Review of Grievances
27-8-29-1. "Accident and Sickness Insurance Policy" Defined
27-8-29-3. "Commissioner" Defined
27-8-29-4. "Covered Individual" Defined
27-8-29-5. "Department" Defined
27-8-29-6. "External Grievance" Defined
27-8-29-7. "Grievance" Defined
27-8-29-8. "Grievance Procedure" Defined
27-8-29-9. "Health Care Provider" Defined
27-8-29-12. Insurer to Establish External Grievance Procedures
27-8-29-13. Requirements for External Grievance Procedure; Independent Review Organizations
27-8-29-14. Rights of Individuals Who File Grievances
27-8-29-15. Independent Review Organizations; Determinations
27-8-29-15.5. Information From Independent Review Organization
27-8-29-16. Binding Determinations
27-8-29-17. Reconsideration of Resolution by Insurer
27-8-29-18. Applicability of Chapter
27-8-29-19. Annual Certifications of Independent Review Organizations
27-8-29-20. Documents of Review Organizations
27-8-29-21. Filing Description of Grievance Procedure
27-8-29-22. Immunity From Civil Liability; Work Product or Determination