Claim for reimbursement treated as disputed claim

Sec. 6. A claim for reimbursement for services shall be treated as a disputed claim under this chapter if: (1) it is submitted within one hundred twenty (120) days after the date that services are rendered; (2) it is denied by the managed care organization; (3) the hospital submits a written notice of dispute for the claim to the managed care organization not more than sixty (60) days after the receipt of the denial notice; (4) it is appealed in accordance with the managed care organization's internal appeals process; and (5) payment for the claim is denied by the managed care organization following its internal appeals process. As added by P.L.142-2000, SEC.2. Amended by P.L.152-2017, SEC.9.