Ind. Code § 27-13-36.2-9

Current through P.L. 171-2024

Section 27-13-36.2-9 - Claim overpayment adjustment

Every subsequent claim that is adjusted by a health maintenance organization for reimbursement on an overpayment of a previous provider claim made to the provider must be accompanied by an explanation of the reason for the adjustment, including:

(1) an identification of:

(A) the claim on which the overpayment was made; and

(B) if ascertainable, the party financially responsible for the amount overpaid; and

(2) the amount of the overpayment that is being reimbursed to the health maintenance organization through the adjusted subsequent claim.

IC 27-13-36.2-9

As added by P.L. 55-2006, SEC.4.