IC 27-8-5.7-11.5 — Error in coordination of benefits; submission of claim to appropriate insurer
Chapter 5.7. Accident and Sickness Insurance; Provider Payment
Bills adding this section
Section text
Sec. 11.5. (a) If an insurer or a health maintenance organization (as defined in IC 27-13-36.2-2) recoups payment from a provider due to an error in coordination of benefits, the provider may submit a claim for the same services to the appropriate insurer. (b) Except as provided in subsection (d) and notwithstanding any other provision of law, a provider may submit a claim to the appropriate insurer not later than ninety (90) days after the date the recoupment is made. (c) A provider that submits a claim under this section shall provide documentation to the insurer demonstrating: (1) the original submission of the claim to the initial insurer or health maintenance organization; and (2) the recoupment of payment by the initial insurer or health maintenance organization due to an error in coordination of benefits. (d) Nothing in this section prevents an insurer from allowing a provider more time to submit a claim.
As added by P.L.88-2026, SEC.11.
Source: official publisher (2026 edition)