IC 27-8-16-0.5: Applicability of chapter

Sec. 0.5. (a) This chapter applies to the following:

(1) A person who conducts medical claims review concerning health care services delivered to an enrollee in Indiana.

(2) A person who acts as a claim review consultant concerning the:

(A) appropriateness of; or

(B) amount charged for;

a health care service delivered to an enrollee in Indiana.

(b) This chapter does not apply to:

(1) the payment of benefits or compensation;

(2) the furnishing of medical, surgical, hospital, or nursing services; or

(3) the payment by an insurer or employer to the provider of health care services for services provided;

under IC 22.