Notice of deficiencies in claims

Sec. 5. (a) An insurer shall pay or deny each clean claim in accordance with sections 6 and 6.5 of this chapter. (b) An insurer 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 insurer 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.5. Amended by P.L.137-2002, SEC.2; P.L.190-2023, SEC.27.