(b) A health maintenance organization shall notify a provider of any deficiencies in a submitted claim not more than:(1) thirty (30) days for a claim that is filed electronically; or(2) forty-five (45) days for a claim that is filed on paper;and describe any remedy necessary to establish a clean claim.(c) Failure of a health maintenance organization to notify a provider as required under subsection (b) establishes the submitted claim as a clean claim.As added by P.L.162-2001, SEC.6. Amended by P.L.137-2002, SEC.3.
Indiana Legal Code