{"data":{"id":"us-in/ic-27-13-36.2-10","jurisdiction":"us-in","citation":"IC 27-13-36.2-10","heading":"Prohibition on denial of claim based on out of network provider referral","body":"Sec. 10. (a) This section applies to an individual contract and a group contract that is entered into, delivered, amended, or renewed after June 30, 2025.\n(b) A health maintenance organization may not deny a claim for reimbursement for a covered service or item provided to an enrollee on the sole basis that the referring provider is an out of network provider.","path":["TITLE 27. INSURANCE","ARTICLE 13. HEALTH MAINTENANCE ORGANIZATIONS","Chapter 36.2. Provider Payment"],"source_url":"https://iga.in.gov/ic/2026/Title_27.html#27-13-36.2-10","current_through":"2026","vintage":"2026","retrieved_at":"2026-09-25T05:39:04Z","sha256":"3c64c6582698f004fec2f46856ef8b8bf6d3077a44553dd08483c186ed24250e","source_id":"us-in","stale":false,"prev":"us-in/ic-27-13-36.2-9.5","next":"us-in/ic-27-13-37-1"},"notice":"GroundRules: Original legal text. Not legal advice."}