Section 12-15-11.5-6 - Claim for reimbursement treated as disputed claim A claim for reimbursement for services shall be treated as a disputed claim under this chapter if:
(1) it is submitted within one hundred twenty (120) days after the date that services are rendered;(2) it is denied by the managed care organization;(3) the hospital submits a written notice of dispute for the claim to the managed care organization not more than sixty (60) days after the receipt of the denial notice;(4) it is appealed in accordance with the managed care organization's internal appeals process; and(5) payment for the claim is denied by the managed care organization following its internal appeals process.Amended by P.L. 152-2017,SEC. 9, eff. 7/1/2017.As added by P.L. 142-2000, SEC.2.