Sec. 5. (a) A payor shall pay or deny each clean claim in accordance with section 6 of this chapter. (b) A payor shall notify a medical service provider of any deficiencies in a submitted claim not more than: (1) thirty (30) days after the date the claim is received by the payor, for a claim that is filed electronically; or (2) forty-five (45) days after the date the claim is received by the payor, for a claim that is filed on paper; and describe any remedy necessary to establish a clean claim. (c) Failure of a payor to notify a medical service provider as required under subsection (b) establishes the submitted claim as a clean claim.
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