Sec. 11. Every subsequent claim that is adjusted by an insurer 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 overpaid amount; and
(2) the amount of the overpayment that is being reimbursed to the insurer through the adjusted subsequent claim.
As added by P.L.55-2006, SEC.2.
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