Indiana Code 12-15-13-1.6. Payment, denial, or suspension of claims; notice of suspension or denial
(b) The office shall pay or deny each clean claim in accordance with section 1.7 of this chapter.
Terms Used In Indiana Code 12-15-13-1.6
- 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
(d) The office shall deny or suspend each claim that is:
(1) not a clean claim; and
(2) submitted by a provider for payment under the Medicaid program;
not more than thirty (30) days after the date the claim is received by the office or, if IC 12-15-30 applies, by the contractor under IC 12-15-30.
(e) If the office denies a provider’s claim for payment under subsection (d) or section 1.7 of this chapter, the office shall notify the provider of each reason the claim was denied.
(f) If the office suspends a provider’s claim for payment under subsection (d), the office shall notify the provider of each reason the claim was suspended.
As added by P.L.107-1996, SEC.7 and P.L.257-1996, SEC.7.