Sec. 10. (a) An insurer may not, more than two (2) years after the date on which an overpayment on a provider claim was made to the provider by the insurer:
(1) request that the provider repay the overpayment; or
(2) adjust a subsequent claim filed by the provider as a method of obtaining reimbursement of the overpayment from the provider.
(b) An insurer may not be required to correct a payment error to a provider more than two (2) years after the date on which a payment on a provider claim was made to the provider by the insurer.
(c) This section does not apply in cases of fraud by the provider, the insured, or the insurer with respect to the claim on which the overpayment or underpayment was made.
As added by P.L.55-2006, SEC.1.
Structure Indiana Code
Article 8. Life, Accident, and Health
Chapter 5.7. Accident and Sickness Insurance; Provider Payment
27-8-5.7-1. "Accident and Sickness Insurance Policy" Defined
27-8-5.7-2. "Clean Claim" Defined
27-8-5.7-4. "Provider" Defined
27-8-5.7-5. Notice of Deficiencies in Claims
27-8-5.7-6. Payment or Denial of Claims; Interest