Sec. 10. (a) This section applies to an individual contract and a group contract that is entered into, delivered, amended, or renewed after June 30, 2025. (b) A health maintenance organization may not deny a claim for reimbursement for a covered service or item provided to an enrollee on the sole basis that the referring provider is an out of network provider. IC 27-13-37 Chapter 37. Patient Protection; Choice of Health Care Professional 27-13-37-1 Enrollees allowed to choose primary care provider from list 27-13-37-2 Use of participating provider other than primary care provider 27-13-37-3 Continuity of care and referrals when specialty care warranted 27-13-37-4 Point-of-service products; dental care services 27-13-37-5 Second medical opinions
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