{"data":{"id":"us-in/ic-27-1-52-12","jurisdiction":"us-in","citation":"IC 27-1-52-12","heading":"Appeal process","body":"Sec. 12. (a) An insurer shall provide providers with a clear and accessible process for appealing downcoded claims, including:\n(1) a written or electronic notice detailing how to initiate an appeal;\n(2) contact information for the individual managing the appeal; and\n(3) a timeline for submission of an appeal that is not less than one hundred eighty (180) days.\n(b) An insurer shall allow a provider to appeal in batches of similar claims involving substantially similar downcoding issues without restriction.","path":["TITLE 27. INSURANCE","ARTICLE 1. DEPARTMENT OF INSURANCE","Chapter 52. Downcoding of Health Benefits Claims"],"source_url":"https://iga.in.gov/ic/2026/Title_27.html#27-1-52-12","current_through":"2026","vintage":"2026","retrieved_at":"2026-09-25T05:39:04Z","sha256":"9522e0d7262e894add79f1f7af7631a539a0e8f0a867cbdea697a5880a1dff9a","source_id":"us-in","stale":false,"prev":"us-in/ic-27-1-52-11","next":"us-in/ic-27-1-52-13"},"notice":"GroundRules: Original legal text. Not legal advice."}