Sec. 2. If a provider provides health care services that are covered under an individual contract or a group contract:

(1) after the date of the version specified in IC 27-1-1.5 of a diagnostic or procedure code described in section 1 of this chapter; and

Terms Used In Indiana Code 27-13-41-2

  • Contract: A legal written agreement that becomes binding when signed.
(2) before the health maintenance organization or limited service health maintenance organization begins using the version of the diagnostic or procedure code;

the health maintenance organization or limited service health maintenance organization shall reimburse the provider under the version of the diagnostic or procedure code that was specified in IC 27-1-1.5 on the date that the health care services were provided.

As added by P.L.161-2001, SEC.5. Amended by P.L.124-2018, SEC.102.