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§ 27-13-36-2-9 — Indiana Law | CourtGPT
  1. Home/
  2. Laws/
  3. Indiana/
  4. Title 27 - Insurance/
  5. Article 13 - Health Maintenance Organizations/
  6. Chapter 36.2 - Provider Payment27-13-36.2-1. "Clean Claim" Defined/
  7. § 27-13-36-2-9
Indiana Legal Code

§ 27-13-36-2-9

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Every subsequent claim that is adjusted by a health maintenance organization for reimbursement on an overpayment of a previous provider claim made to the provider must be accompanied by an explanation of the reason for the adjustment, including:(1) an identification of:(A) the claim on which the overpayment was made; and(B) if ascertainable, the party financially responsible for the amount overpaid; and(2) the amount of the overpayment that is being reimbursed to the health maintenance organization through the adjusted subsequent claim.As added by P.L.55-2006, SEC.4.