Indiana Code
Article 1. Department of Insurance
Chapter 37.5. Health Care Service Prior Authorization

27-1-37.5-1. Application of Chapter - Sec. 1. (a) Except as provided in sections 10, 11,...

27-1-37.5-2. "Covered Individual" - Sec. 2. As used in this chapter, "covered individual" means...

27-1-37.5-3. "Cpt Code" - Sec. 3. As used in this chapter, "CPT code" refers...

27-1-37.5-4. "Health Care Service" - Sec. 4. (a) As used in this chapter, "health care...

27-1-37.5-5. "Health Plan" - Sec. 5. (a) As used in this chapter, "health plan"...

27-1-37.5-6. "Participating Provider" - Sec. 6. As used in this chapter, "participating provider" refers...

27-1-37.5-7. "Prior Authorization" - Sec. 7. As used in this chapter, "prior authorization" means...

27-1-37.5-8. "Urgent Care Situation" - Sec. 8. As used in this chapter, "urgent care situation"...

27-1-37.5-9. Availability of Prior Authorization Information; Requirements; New Requirements; Address Change; Notices - Sec. 9. (a) A health plan shall make available to...

27-1-37.5-10. Request for Prior Authorization; Electronic Transmission; Standardized Form - Sec. 10. (a) This section applies to a request for...

27-1-37.5-11. Response to Request for Prior Authorization; Timing; Incomplete Request - Sec. 11. (a) This section applies to a prior authorization...

27-1-37.5-12. Claim for Which Prior Authorization Was Given; Denial; Resubmission of Claim - Sec. 12. (a) This section applies to a claim for...

27-1-37.5-13. Unanticipated, Medically Necessary Health Care Service; Denial; Payment for Health Care Service With Prior Authorization - Sec. 13. (a) This section applies to a claim filed...

27-1-37.5-14. Contrary Contract Provision Void - Sec. 14. A provision that: (1) is contained in a...

27-1-37.5-15. Violation of Chapter - Sec. 15. A violation of this chapter by a health...

27-1-37.5-16. Department of Insurance; Standardized Prior Authorization Form - Sec. 16. (a) Except as provided in subsection (b), the...