Indiana Code 27-8-5.7-10. Claim payment errors
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Sec. 10. (a) An insurer may not, more than two (2) years after the date on which an overpayment on a provider claim was made to the provider by the insurer:
(2) adjust a subsequent claim filed by the provider as a method of obtaining reimbursement of the overpayment from the provider.
(1) request that the provider repay the overpayment; or
Terms Used In Indiana Code 27-8-5.7-10
- Fraud: Intentional deception resulting in injury to another.
- insurer: means an insurance company issued a certificate of authority in Indiana to issue accident and sickness insurance policies. See Indiana Code 27-8-5.7-3
- provider: has the meaning set forth in IC 27-8-11-1. See Indiana Code 27-8-5.7-4
(b) An insurer may not be required to correct a payment error to a provider more than two (2) years after the date on which a payment on a provider claim was made to the provider by the insurer.
(c) This section does not apply in cases of fraud by the provider, the insured, or the insurer with respect to the claim on which the overpayment or underpayment was made.
As added by P.L.55-2006, SEC.1.