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Indiana · Snapshot 2026

IC 27-13-10.1-3: Cooperation with review organization; requirements of enrollee

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Where this section sits in the code
  1. TITLE 27. INSURANCE
  2. ARTICLE 13. HEALTH MAINTENANCE ORGANIZATIONS
  3. Chapter 10.1. External Review of Grievances

Sec. 3. (a) An enrollee who files an appeal under this chapter shall:

(1) not be subject to retaliation for exercising the enrollee's right to an appeal under this chapter;

(2) be permitted to utilize the assistance of other individuals, including physicians, attorneys, friends, and family members throughout the review process;

(3) be permitted to submit additional information relating to the proposed service throughout the review process; and

(4) cooperate with the independent review organization by:

(A) providing any requested medical information; or

(B) authorizing the release of necessary medical information.

(b) A health maintenance organization shall cooperate with an independent review organization selected under section 2 of this chapter by promptly providing any information requested by the independent review organization.

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

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