Terms Used In Indiana Code 27-8-17-5

  • covered individual: means :

    Indiana Code 27-8-17-1

  • utilization review: means a system for prospective, concurrent, or retrospective review of the medical necessity and appropriateness of health care services provided or proposed to be provided to a covered individual. See Indiana Code 27-8-17-6
   Sec. 5. As used in this chapter, “provider of record” means the physician or other licensed practitioner identified to a utilization review agent as having primary responsibility for the care, treatment, and services rendered to a covered individual.

As added by P.L.128-1992, SEC.1.