Indiana Code 25-1-9.1-11. “Referral”
Current as of: 2023 | Check for updates
|
Other versions
Sec. 11. (a) As used in this chapter, “referral” means a recommendation or direction made by a provider to a covered individual that the covered individual receive a health care item or service rendered by another provider that is not affiliated with the first provider.
(1) affiliated with; or
(b) The term does not include a recommendation or direction made by a provider to a covered individual that the covered individual receive a health care item or service rendered by another provider that is:
Terms Used In Indiana Code 25-1-9.1-11
- affiliated: refers to a provider that is a member of the same provider group as another provider. See Indiana Code 25-1-9.1-2
- covered individual: means an individual who is entitled to coverage under a health plan. See Indiana Code 25-1-9.1-3
- provider: means a practitioner described in IC 25-1-9-2(a)(1). See Indiana Code 25-1-9.1-9
(2) not specifically identified by name by;
the first provider.
As added by P.L.147-2017, SEC.1.