Indiana Code 27-1-37.6-12. “Prior authorization”
Current as of: 2023 | Check for updates
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Terms Used In Indiana Code 27-1-37.6-12
- Dependent: A person dependent for support upon another.
- health care provider: means an individual or entity that is:
Indiana Code 27-1-37.6-7
- health care service: means a medical or surgical service for the diagnosis, prevention, treatment, cure, or relief of illness, injury, or disease that is measured at the diagnosis and procedure level for an individual health care provider. See Indiana Code 27-1-37.6-8
- health plan: means any of the following:
Indiana Code 27-1-37.6-9
Sec. 12. As used in this chapter, “prior authorization” means a practice implemented by a health plan through which coverage of a health care service is dependent on the covered individual or health care provider obtaining approval from the health plan before the health care service is rendered. The term includes prospective or utilization review procedures conducted before a health care service is rendered.
As added by P.L.203-2023, SEC.19.