Indiana Code § 27-13-9-7

Electronic data base requirements; rulemaking authority
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Sec. 7. (a) The electronic data base by which a health maintenance organization or by which a third party administrator of benefits and health care services offered under a health maintenance organization contract allows an enrollee or a provider to verify an enrollee's coverage or benefits under a health maintenance organization contract must include the following information for each enrollee: (1) Whether benefits and health care services under the health maintenance organization contract are provided by: (A) the health maintenance organization; or (B) a third party administrator. (2) Whether the health maintenance organization contract is a self-funded or fully-funded plan.       (b) The department shall adopt rules under IC 4-22-2 to ensure compliance with this section.   IC 27-13-10 Chapter 10. Grievance Procedures               27-13-10-1 Establishment of procedures             27-13-10-2 Examination by commissioner             27-13-10-3 Records of grievances             27-13-10-4 Notice of grievance related information             27-13-10-5 Filing; oral or written grievance; telephone number; date             27-13-10-6 Filing; procedures; representative             27-13-10-7 Resolution of grievances             27-13-10-8 Appeals of grievance decisions; filing of report for violation             27-13-10-11 Action against provider representing enrollee or subscriber             27-13-10-12 Approval of grievance and appeals procedures             27-13-10-13 Adoption of rules

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