Indiana Code
Article 8. Life, Accident, and Health
Chapter 17. Health Care Utilization Review

27-8-17-1. "Covered Individual" Defined - Sec. 1. As used in this chapter, "covered individual" means:...

27-8-17-2. "Department" Defined - Sec. 2. As used in this chapter, "department" refers to...

27-8-17-3. "Enrollee" Defined - Sec. 3. As used in this chapter, "enrollee" means an...

27-8-17-4. "Health Maintenance Organization" Defined - Sec. 4. As used in this chapter, "health maintenance organization"...

27-8-17-5. "Provider of Record" Defined - Sec. 5. As used in this chapter, "provider of record"...

27-8-17-6. "Utilization Review" Defined - Sec. 6. (a) As used in this chapter, "utilization review"...

27-8-17-7. "Utilization Review Agent" Defined - Sec. 7. (a) As used in this chapter, "utilization review...

27-8-17-8. "Utilization Review Determination" Defined - Sec. 8. (a) As used in this chapter, "utilization review...

27-8-17-9. Certificate of Registration; Issuance to Agent - Sec. 9. (a) A utilization review agent may not conduct...

27-8-17-10. Certificate of Registration; Renewal; Transfer; Notice of Change in Information - Sec. 10. (a) To remain in effect, a certificate of...

27-8-17-11. Minimum Utilization Review Agent Requirements - Sec. 11. A utilization review agent must satisfy the following...

27-8-17-12. Appeals Procedure - Sec. 12. (a) A utilization review agent shall make available...

27-8-17-13. Physician's Statement; Documentation of Review Agent Capability - Sec. 13. To provide documentation demonstrating that a utilization review...

27-8-17-14. Accreditation and Approval of Review Agent; Determination; New Certificate of Registration; Order to Cease Activities - Sec. 14. (a) The department may, according to the rules...

27-8-17-15. Certification of Admission, Service, or Procedure; Enrollee Request; Notice and Information; Assistance; Denial Under Terms of Benefit Program - Sec. 15. (a) The following requirements apply to an enrollee's...

27-8-17-16. Fraudulent or Misleading Information; Penalties - Sec. 16. A provider of record, an enrollee, or the...

27-8-17-17. Violations; Notice to Agent; Cease and Desist Orders; Penalties; Revocation or Suspension of Registration; Review - Sec. 17. (a) If the department believes that a utilization...

27-8-17-18. Confidential Information - Sec. 18. (a) This chapter does not require a utilization...

27-8-17-19. Prohibited Bases for Compensation of Agent - Sec. 19. The compensation of a utilization review agent for...

27-8-17-20. Rules - Sec. 20. The department shall adopt rules under IC 4-22-2...