{"data":{"id":"us-in/ic-27-13-36.2-3","jurisdiction":"us-in","citation":"IC 27-13-36.2-3","heading":"Notice of deficiencies in claims","body":"Sec. 3. (a) A health maintenance organization shall pay or deny each clean claim in accordance with section 4 of this chapter.\n(b) A health maintenance organization shall notify a provider of any deficiencies in a submitted claim not more than:\n(1) thirty (30) days for a claim that is filed electronically; or\n(2) forty-five (45) days for a claim that is filed on paper;\nand describe any remedy necessary to establish a clean claim.\n(c) Failure of a health maintenance organization to notify a provider as required under subsection (b) establishes the submitted claim as a clean claim.","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#27-13-36.2-3","current_through":"2026","vintage":"2026","retrieved_at":"2026-09-25T05:39:04Z","sha256":"fa89a1f417d16119cad120c0ffaab5071ffe1e89da0c71cb2c357656de94c26b","source_id":"us-in","stale":false,"prev":"us-in/ic-27-13-36.2-2.3","next":"us-in/ic-27-13-36.2-4"},"notice":"GroundRules: Original legal text. Not legal advice."}