344 chapters · 3,652 sections in this title.
Ind. Code § 27-8-16-10 Fraudulent or misleading information; penalties
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Sec. 10. A provider, an enrollee, or an agent of a provider or enrollee who provides fraudulent or misleading information to a claim review agent is subject to the appropriate administrative, civil, and criminal penalties. As added by P.L.128-1992, SEC.2.
Ind. Code § 27-8-16-11 Prohibited bases for compensation of claim review agents and consultants
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Sec. 11. (a) The compensation of a claim review agent for the performance of medical claims review may not be based on the amount by which claims are reduced for payment. (b) The compensation of a claim review consultant for making a recommendation or providing consultation conce…
Ind. Code § 27-8-16-12 Violations; claims review agent; notice; cease and desist orders; penalties; revocation or suspension of registration;
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review Sec. 12. (a) If the department believes that a claim review agent or claim review consultant has violated this chapter, the department shall notify the claim review agent or claim review consultant of the alleged violation. (b) The claim review agent or claim review consul…
Ind. Code § 27-8-16-13 Confidential information
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Sec. 13. (a) This chapter does not require a claim review agent or claim review consultant to disclose information that is proprietary. (b) Any: (1) information concerning standards, criteria, or medical protocols used by a claim review agent in conducting medical claims review; …