§ 22-3-7.2-1 “Clean claim”
§ 22-3-7.2-2 “Payor”
§ 22-3-7.2-3 “Medical service facility”
§ 22-3-7.2-4 “Medical service provider”
§ 22-3-7.2-5 Notice of deficiencies in claims
§ 22-3-7.2-6 Payment or denial of claims; interest
§ 22-3-7.2-7 Permitted forms
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Terms Used In Indiana Code > Title 22 > Article 3 > Chapter 7.2 - Payments of Claims

  • clean claim: means a claim submitted by a medical service provider for payment under IC 22-3-2 through IC 22-3-7 that has no defect, impropriety, or particular circumstance requiring special treatment preventing payment. See Indiana Code 22-3-7.2-1
  • Interest rate: The amount paid by a borrower to a lender in exchange for the use of the lender's money for a certain period of time. Interest is paid on loans or on debt instruments, such as notes or bonds, either at regular intervals or as part of a lump sum payment when the issue matures. Source: OCC
  • medical service facility: means any of the following that provides a service or product under IC 22-3-2 through IC 22-3-7 and uses the CMS 1450 (UB-04) form or the CMS 1500 (HCFA-1500) form for Medicare reimbursement:

    Indiana Code 22-3-7.2-3

  • medical service provider: means a person or an entity that provides services or products to an employee under IC 22-3-2 through IC 22-3-7. See Indiana Code 22-3-7.2-4
  • payor: means an employer or an employer's insurance carrier that is liable for a claim for a service or product under IC 22-3-2 through IC 22-3-7. See Indiana Code 22-3-7.2-2