IC 27-8-16-9: Provider's statement; documentation of review agent capability

Sec. 9. To provide documentation demonstrating that a claim review agent is capable of satisfying the requirement of section 7(6) of this chapter, the claim review agent must provide a signed statement of a provider employed by the claim review agent verifying that determinations are:

(1) made by; or

(2) determined in accordance with standards or guidelines approved by;

a provider licensed in the same discipline as the provider who rendered the service.