Sec. 1. (a) This section applies only to claims submitted for payment by nursing facilities. (b) The office shall pay, deny, or suspend each claim submitted by a provider for payment under the Medicaid program not more than: (1) twenty-one (21) days after the date a claim that is filed electronically; or (2) thirty (30) days after the date a claim that is filed on paper; is received by the office or, if IC 12-15-30 applies, by the contractor under IC 12-15-30 . (c) The office shall pay each clean claim. (d) The office may deny or suspend a claim that is not a clean claim. If the office denies a provider's claim for payment, the office shall notify the provider of each reason the claim was denied. (e) If the office suspends a provider's claim for payment under the Medicaid program, the office shall notify the provider of each reason the claim was suspended. [Pre-1992 Revision Citation: 12-1-7-16.5.]
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