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Indiana · Snapshot 2026

IC 27-1-37-6: Requiring provider to provide health care services

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Where this section sits in the code
  1. TITLE 27. INSURANCE
  2. ARTICLE 1. DEPARTMENT OF INSURANCE
  3. Chapter 37. Health Provider Contracts

Sec. 6. (a) Except as provided in subsection (b), a person may not require a provider, as a condition of entering into a health provider contract for the provision of health care services other than health care services to enrollees of a health maintenance organization, to provide health care services to enrollees of a health maintenance organization.

(b) A person may require a provider, as a condition of entering into a health provider contract for the provision of health care services other than health care services to enrollees of a health maintenance organization, to provide health care services to enrollees of a health maintenance organization:

(1) in an emergency; or

(2) upon referral.

(c) If a person requires a provider to provide health care services to enrollees of a health maintenance organization under subsection (b), the person:

(1) shall reimburse the provider at rates established under the health provider contract; and

(2) may not require the provider to comply with the terms and conditions of the health maintenance organization.

Collected 2026-09-25T05:39:04Z. Source file · JSON

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