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Indiana · Snapshot 2026

IC 27-1-37.5-8.1: "Urgent health care service"

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Where this section sits in the code
  1. TITLE 27. INSURANCE
  2. ARTICLE 1. DEPARTMENT OF INSURANCE
  3. Chapter 37.5. Health Care Service Prior Authorization

Sec. 8.1. As used in this chapter, "urgent health care service" means a health care service in which the application of the time period for making a nonexpedited prior authorization, in the opinion of a physician with knowledge of the covered individual's medical condition, could:

(1) seriously jeopardize:

(A) the life or health of the covered individual; or

(B) the covered individual's ability to regain maximum function; or

(2) subject the covered individual to severe pain that cannot be adequately managed without the health care service.

The term includes a mental and behavioral health care service.

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

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