Notice of deficiencies in claims

Ind. Code § 5-10-8.1-6, under Chapter 8.1. State Employee Health Benefits; Provider Payment.

Ind. Code § 5-10-8.1-6

Sec. 6. (a) The administrator shall pay or deny each clean claim in accordance with section 7 of this chapter. (b) An administrator shall notify a provider of any deficiencies in a submitted claim not more than: (1) thirty (30) days for a claim that is filed electronically; or (2) forty-five (45) days for a claim that is filed on paper; and describe any remedy necessary to establish a clean claim. (c) Failure of an administrator to notify a provider as required under subsection (b)

establishes the submitted claim as a clean claim. As added by P.L.162-2001, SEC.1. Amended by P.L.137-2002, SEC.1.