{"data":{"id":"us-in/ic-27-1-37.5-7","jurisdiction":"us-in","citation":"IC 27-1-37.5-7","heading":"\"Prior authorization\"","body":"Sec. 7. As used in this chapter, \"prior authorization\" means the process by which a utilization review entity determines the medical necessity of an otherwise covered health care service before the health care service is rendered. The term includes a utilization review entity's requirement that a covered individual or health care provider notify the utilization review entity prior to providing a health care service.","path":["TITLE 27. INSURANCE","ARTICLE 1. DEPARTMENT OF INSURANCE","Chapter 37.5. Health Care Service Prior Authorization"],"source_url":"https://iga.in.gov/ic/2026/Title_27.html#27-1-37.5-7","current_through":"2026","vintage":"2026","retrieved_at":"2026-09-25T05:39:04Z","sha256":"9c9c40bd314df79448f5b2d470a6af494a71c8d3b82d0f6758c7a48eb0e948c3","source_id":"us-in","stale":false,"prev":"us-in/ic-27-1-37.5-6","next":"us-in/ic-27-1-37.5-8"},"notice":"GroundRules: Original legal text. Not legal advice."}