{"data":{"id":"us-in/ic-27-13-36.2-9.5","jurisdiction":"us-in","citation":"IC 27-13-36.2-9.5","heading":"Error in coordination of benefits; submission of claim to appropriate health maintenance organization","body":"Sec. 9.5. (a) If an insurer (as defined in IC 27-8-5.7-3) or a health maintenance organization recoups payment from a provider due to an error in coordination of benefits, the provider may submit a claim for the same services to the appropriate health maintenance organization.\n(b) Except as provided in subsection (d) and notwithstanding any other provision of law, a provider may submit a claim to the appropriate health maintenance organization not later than ninety (90) days after the date the recoupment is made.\n(c) A provider that submits a claim under this section shall provide documentation to the health maintenance organization demonstrating:\n(1) the original submission of the claim to the initial insurer or health maintenance organization; and\n(2) the recoupment of payment by the initial insurer or health maintenance organization due to an error in coordination of benefits.\n(d) Nothing in this section prevents a health maintenance organization from allowing a provider more time to submit a 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#27-13-36.2-9.5","current_through":"2026","vintage":"2026","retrieved_at":"2026-09-25T05:39:04Z","sha256":"7322553a830571e475919cff6dd401dab17fb59282681e1b83794573727164d4","source_id":"us-in","stale":false,"prev":"us-in/ic-27-13-36.2-9","next":"us-in/ic-27-13-36.2-10"},"notice":"GroundRules: Original legal text. Not legal advice."}