{"data":{"id":"us-in/ic-27-1-45.2-11","jurisdiction":"us-in","citation":"IC 27-1-45.2-11","heading":"Notice; good faith negotiation","body":"Sec. 11. (a) If, during any ninety (90) day period, an initiating party submits requests for independent dispute resolutions that, in the aggregate, include twenty-five (25) or more qualified disputes, the health carrier may:\n(1) provide written notice to the out of network provider and the facility that includes:\n(A) a description of the independent dispute resolution requests that are the basis for the notice, including applicable dates of service;\n(B) identification of the party involved, including the name and tax identification number, if known;\n(C) the name and contact information of a representative authorized to negotiate on behalf of the health carrier; and\n(D) the requirement to participate in a conference and good faith negotiation; and\n(2) deliver the notice to the out of network provider and the facility by:\n(A) electronic mail; and\n(B) certified mail.\n(b) If a health carrier provides notice under subsection (a), the health carrier, the out of network provider, and the facility shall engage in good faith efforts to negotiate a resolution not later than thirty (30) days after the notice is provided, including:\n(1) at least one (1) conference between authorized representatives; and\n(2) a reasonable exchange of information necessary to evaluate and address the conduct described in the notice.\n(c) A conference under subsection (b) may not:\n(1) adjudicate individual claims;\n(2) alter rights or obligations under federal or state law; or\n(3) occur more than once per calendar quarter.","path":["TITLE 27. INSURANCE","ARTICLE 1. DEPARTMENT OF INSURANCE","Chapter 45.2. Independent Dispute Resolution"],"source_url":"https://iga.in.gov/ic/2026/Title_27.html#27-1-45.2-11","current_through":"2026","vintage":"2026","retrieved_at":"2026-09-25T05:39:04Z","sha256":"50ca451b055382cbc1aac4dde97d0f188916c5b468164241df4b30b1b7208e12","source_id":"us-in","stale":false,"prev":"us-in/ic-27-1-45.2-10","next":"us-in/ic-27-1-45.2-12"},"notice":"GroundRules: Original legal text. Not legal advice."}