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Indiana Statutes, Title 27

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Indiana/Statutes

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Title 27, INSURANCE

344 chapters · 3,652 sections in this title.

All chapters in Title 273,652 Ch 1, Department Created215 Ch 2, Application of Article; Definitions199 Ch 3, General Powers and Duties of the Dep…199 Ch 4, Prohibited Activities106 Ch 6, Formation of Domestic Companies100 Ch 10, Voluntary Dissolution99 Ch 5, Classification of Insurance97 Ch 9, Merger, Consolidation, and Reinsurance97 Ch 8, Procedures for Amending Articles of …96 Ch 12, Life Insurance Company Powers and Po…92 Ch 7, General Corporate Powers and Respons…84 Ch 36, Risk Based Capital Requirements75 Ch 15, Participating Providers; Contracts a…68 Ch 13, Casualty, Fire, and Marine Insurance…66

12 sections·Filtered byTitle 27✕Ch 45✕

Ind. Code § 27-1-45-0.5 Not applicable to emergency services
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Sec. 0.5. This chapter does not apply to emergency services. As added by P.L.93-2020, SEC.11.
Ind. Code § 27-1-45-1 "Covered individual"
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Sec. 1. As used in this chapter, "covered individual" means an individual who is entitled to be provided health care services at a cost established according to a network plan. As added by P.L.93-2020, SEC.11.
Ind. Code § 27-1-45-1.5 "Emergency services"
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Sec. 1.5. As used in this chapter, "emergency services" means services that are: (1) furnished by a provider qualified to furnish emergency services; and (2) needed to evaluate or stabilize an emergency medical condition. As added by P.L.93-2020, SEC.11.
Ind. Code § 27-1-45-10 Compliance with federal requirements
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Sec. 10. The requirements of this chapter do not apply to a facility or practitioner that: (1) is required to comply with; and (2) is in compliance with; 45 CFR Part 149, Subparts E and G, as may be enforced and amended by the federal Department of Health and Human Services. As a…

Ind. Code § 27-1-45-2 "Facility"

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Sec. 2. (a) As used in this chapter, "facility" means an institution in which health care services are provided to individuals. The term includes: (1) hospitals and other licensed ambulatory surgical centers; and (2) ambulatory outpatient surgical centers. (b) The term does not i…

Ind. Code § 27-1-45-3 "In network provider"

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Sec. 3. As used in this chapter, "in network provider" means a provider that is required under a network plan to provide health care services to covered individuals at not more than a preestablished rate or amount of compensation. As added by P.L.93-2020, SEC.11.

Ind. Code § 27-1-45-4 "Network plan"

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Sec. 4. As used in this chapter, "network plan" means a plan under which providers are required by contract to provide health care services to covered individuals at not more than a preestablished rate or amount of compensation. As added by P.L.93-2020, SEC.11.

Ind. Code § 27-1-45-5 "Practitioner"

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Sec. 5. (a) As used in this chapter, "practitioner" means the following: (1) An individual: (A) who holds: (i) an unlimited license, certificate, or registration; (ii) a limited or probationary license, certificate, or registration; (iii) a temporary license, certificate, registr…

Ind. Code § 27-1-45-6 "Provider"

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Sec. 6. As used in this chapter, "provider" means: (1) a facility; or (2) a practitioner. As added by P.L.93-2020, SEC.11.

Ind. Code § 27-1-45-7 Exception to good faith estimate requirement

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Sec. 7. A facility or a practitioner is not required to provide the good faith estimate if the health care service to be provided to the covered individual is scheduled to be performed within two (2) business days after the health care service is ordered. As added by P.L.93-2020,…

Ind. Code § 27-1-45-8 Out of network practitioner providing services at in network facility; conditions for reimbursement of out of network practitioner at higher rate; explanation of charge exceeding estimate; rules

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Sec. 8. (a) An out of network practitioner who provides health care services at an in network facility to a covered individual may not be reimbursed more for the health care services than allowed according to the rate or amount of compensation established by the covered individua…

Ind. Code § 27-1-45-9 Civil penalty; fund

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Sec. 9. (a) The insurance commissioner may, after notice and hearing under IC 4-21.5, impose on the provider facility a civil penalty of not more than one thousand dollars ($1,000) for each violation of this chapter. (b) A civil penalty collected under this section shall be depos…