Indiana Code 12-15-13-1. Payment, denial, or suspension of claims submitted by nursing facilities; time; notice of suspension or denial
(b) The office shall pay, deny, or suspend each claim submitted by a provider for payment under the Medicaid program not more than:
Terms Used In Indiana Code 12-15-13-1
- clean claim: means a claim submitted by a provider for payment under the Medicaid program that can be processed without obtaining additional information from:
Indiana Code 12-15-13-0.5
- office: includes the following:
Indiana Code 12-15-13-0.4
(2) thirty (30) days after the date a claim that is filed on paper;
is received by the office or, if IC 12-15-30 applies, by the contractor under IC 12-15-30.
(c) The office shall pay each clean claim.
(d) The office may deny or suspend a claim that is not a clean claim. If the office denies a provider’s claim for payment, the office shall notify the provider of each reason the claim was denied.
(e) If the office suspends a provider’s claim for payment under the Medicaid program, the office shall notify the provider of each reason the claim was suspended.
[Pre-1992 Revision Citation: 12-1-7-16.5.]
As added by P.L.2-1992, SEC.9. Amended by P.L.10-1994, SEC.4; P.L.107-1996, SEC.5; P.L.257-1996, SEC.5.