IC 27-1-52-2: "Downcode"; "downcoding"
Where this section sits in the code
- TITLE 27. INSURANCE
- ARTICLE 1. DEPARTMENT OF INSURANCE
- Chapter 52. Downcoding of Health Benefits Claims
Sec. 2. As used in this chapter, "downcode" or "downcoding" means the unilateral alteration by an insurer of the:
(1) payment for an evaluation and management service code or other service code; or
(2) level of evaluation and management service code or other service code submitted on a claim that results in a lower payment.
Collected 2026-09-25T05:39:04Z. Source file · JSON