{"data":{"id":"us-in/ic-27-8-17-8","jurisdiction":"us-in","citation":"IC 27-8-17-8","heading":"\"Utilization review determination\" defined","body":"Sec. 8. (a) As used in this chapter, \"utilization review determination\" means the rendering of a decision based on utilization review that denies or affirms either of the following:\n(1) The necessity or appropriateness of the allocation of resources.\n(2) The provision or proposed provision of health care services to a covered individual.\n(b) The term does not include the identification of alternative, optional medical care that:\n(1) requires the approval of the covered individual; and\n(2) does not affect coverage or benefits if rejected by the covered individual.","path":["TITLE 27. INSURANCE","ARTICLE 8. LIFE, ACCIDENT, AND HEALTH","Chapter 17. Health Care Utilization Review"],"source_url":"https://iga.in.gov/ic/2026/Title_27.html#27-8-17-8","current_through":"2026","vintage":"2026","retrieved_at":"2026-09-25T05:39:04Z","sha256":"49bd227e43c699392b628cff0379ddf602015744ac34bac1c624ed848712a691","source_id":"us-in","stale":false,"prev":"us-in/ic-27-8-17-7","next":"us-in/ic-27-8-17-9"},"notice":"GroundRules: Original legal text. Not legal advice."}