Error in coordination of benefits; submission of claim to appropriate health maintenance organization
Ind. Code § 27-13-36.2-9.5
in effectSec. 9.5. (a) If an insurer (as defined in IC 27-8-5.7-3) or a health maintenance organization recoups payment from a provider due to an error in coordination of benefits, the provider may submit a claim for the same services to the appropriate health maintenance organization.
(b) Except as provided in subsection (d) and notwithstanding any other provision of law, a provider may submit a claim to the appropriate health maintenance organization not later than ninety (90) days after the date the recoupment is made.
(c) A provider that submits a claim under this section shall provide documentation to the health maintenance organization demonstrating:
(1) the original submission of the claim to the initial insurer or health maintenance organization; and
(2) the recoupment of payment by the initial insurer or health maintenance organization due to an error in coordination of benefits.
(d) Nothing in this section prevents a health maintenance organization from allowing a provider more time to submit a claim.
As added by P.L.88-2026, SEC.16.
Source: Open US Law by Vaquill AI (CC BY 4.0)URL: https://iga.in.gov/laws/2026/ic/titles/27Fetched: 10/17/2026