Skip to main content
CourtGPT logoCourtGPT
Directory
Law
For Attorneys
Blog
AppointmentsSign InSign Up
§ 27-13-15-4 — Indiana Law | CourtGPT
  1. Home/
  2. Laws/
  3. Indiana/
  4. Title 27 - Insurance/
  5. Article 13 - Health Maintenance Organizations/
  6. Chapter 15 - Participating Providers; Contracts and Legal Actions27-13-15-0.1. Application of Certain Amendments to Chapter/
  7. § 27-13-15-4
Indiana Legal Code

§ 27-13-15-4

Ask AI about this
(2) A person that pays or administers claims on behalf of a health maintenance organization or a limited service health maintenance organization.(b) An agreement between a health maintenance organization and a participating provider under this chapter may not contain a provision that:(1) prohibits, or grants the health maintenance organization an option to prohibit, the participating provider from contracting with another health maintenance organization to accept lower payment for health care services than the payment specified in the agreement;(2) requires, or grants the health maintenance organization an option to require, the participating provider to accept a lower payment from the health maintenance organization if the participating provider agrees with another health maintenance organization to accept lower payment for health care services;(3) requires, or grants the health maintenance organization an option of, termination or renegotiation of the agreement if the participating provider agrees with another health maintenance

e services;(3) requires, or grants the health maintenance organization an option of, termination or renegotiation of the agreement if the participating provider agrees with another health maintenance organization to accept lower payment for health care services; or(4) requires the participating provider to disclose the participating provider's reimbursement rates under contracts with other health maintenance organizations.(c) A contract provision that violates this section is void.As added by P.L.74-2007, SEC.2.