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Indiana · Snapshot 2026

IC 27-1-52-2: "Downcode"; "downcoding"

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Where this section sits in the code
  1. TITLE 27. INSURANCE
  2. ARTICLE 1. DEPARTMENT OF INSURANCE
  3. 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

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