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344 chapters · 3,652 sections in this title.
Ind. Code § 27-8-17-4 "Health maintenance organization" defined
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Sec. 4. As used in this chapter, "health maintenance organization" has the meaning set forth in IC 27-13-1-19. As added by P.L.128-1992, SEC.1. Amended by P.L.26-1994, SEC.18.
Ind. Code § 27-8-17-5 "Provider of record" defined
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Sec. 5. As used in this chapter, "provider of record" means the physician or other licensed practitioner identified to a utilization review agent as having primary responsibility for the care, treatment, and services rendered to a covered individual. As added by P.L.128-1992, SEC…
Ind. Code § 27-8-17-6 "Utilization review" defined
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Sec. 6. (a) As used in this chapter, "utilization review" means a system for prospective, concurrent, or retrospective review of the medical necessity and appropriateness of health care services provided or proposed to be provided to a covered individual. (b) The term does not in…
Ind. Code § 27-8-17-7 "Utilization review agent" defined
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Sec. 7. (a) As used in this chapter, "utilization review agent" means any entity performing utilization review, except the following: (1) An agency of the state or federal government. (2) An agent acting on behalf of the federal or state government. (3) Entities conducting genera…