{"data":{"id":"us-in/ic-27-8-16-11","jurisdiction":"us-in","citation":"IC 27-8-16-11","heading":"Prohibited bases for compensation of claim review agents and consultants","body":"Sec. 11. (a) The compensation of a claim review agent for the performance of medical claims review may not be based on the amount by which claims are reduced for payment.\n(b) The compensation of a claim review consultant for making a recommendation or providing consultation concerning the appropriateness of or amount charged for a health care service delivered to an enrollee in Indiana may not be based on the amount by which a claim relating to the service is reduced for payment.","path":["TITLE 27. INSURANCE","ARTICLE 8. LIFE, ACCIDENT, AND HEALTH","Chapter 16. Medical Claims Review"],"source_url":"https://iga.in.gov/ic/2026/Title_27.html#27-8-16-11","current_through":"2026","vintage":"2026","retrieved_at":"2026-09-25T05:39:04Z","sha256":"c0ff7f53e6c03a0d57ca706c21115d3ff5a8bea76329d87cd4dec6dc32ee7d1a","source_id":"us-in","stale":false,"prev":"us-in/ic-27-8-16-10","next":"us-in/ic-27-8-16-12"},"notice":"GroundRules: Original legal text. Not legal advice."}