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§ 12-15-13-1-6 — Indiana Law | CourtGPT
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  6. Chapter 13 - Provider Payment; General12-15-13-0.1. Application of Certain Amendments to Chapter/
  7. § 12-15-13-1-6
Indiana Legal Code

§ 12-15-13-1-6

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(b) The office shall pay or deny each clean claim in accordance with section 1.7 of this chapter.(c) The office shall deny or suspend each claim that is not a clean claim in accordance with subsection (d).(d) The office shall deny or suspend each claim that is:(1) not a clean claim; and(2) submitted by a provider for payment under the Medicaid program;not more than thirty (30) days after the date the claim is received by the office or, if IC 12-15-30 applies, by the contractor under IC 12-15-30.(e) If the office denies a provider's claim for payment under subsection (d) or section 1.7 of this chapter, the office shall notify the provider of each reason the claim was denied.(f) If the office suspends a provider's claim for payment under subsection (d), the office shall notify the provider of each reason the claim was suspended.As added by P.L.107-1996, SEC.7 and P.L.257-1996, SEC.7.