Limitation on use of downcoding by insurer

Ind. Code § 27-1-52-8, under Downcoding of Health Benefits Claims.

Ind. Code § 27-1-52-8

Sec. 8. Notwithstanding any other law or regulation to the contrary, an insurer may not use downcoding in a manner that prevents a provider from: (1) submitting a health benefits claim for the actual health care service performed; and (2) collecting reimbursement from the insurer for the actual health care service performed. As added by P.L.88-2026, SEC.6.