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§ 27-13-9-7 — Indiana Law | CourtGPT
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  2. Laws/
  3. Indiana/
  4. Title 27 - Insurance/
  5. Article 13 - Health Maintenance Organizations/
  6. Chapter 9 - Information to Enrollees or Subscribers27-13-9-1. List of Providers/
  7. § 27-13-9-7
Indiana Legal Code

§ 27-13-9-7

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(a) The electronic data base by which a health maintenance organization or by which a third party administrator of benefits and health care services offered under a health maintenance organization contract allows an enrollee or a provider to verify an enrollee's coverage or benefits under a health maintenance organization contract must include the following information for each enrollee:(1) Whether benefits and health care services under the health maintenance organization contract are provided by:(A) the health maintenance organization; or(B) a third party administrator.(2) Whether the health maintenance organization contract is a self-funded or fully-funded plan.(b) The department shall adopt rules under IC 4-22-2 to ensure compliance with this section.As added by P.L.111-2020, SEC.15.