Current through P.L. 171-2024
Section 27-8-16-11 - Prohibited bases for compensation of claim review agents and consultants(a) The compensation of a claim review agent for the performance of medical claims review may not be based on the amount by which claims are reduced for payment.(b) The compensation of a claim review consultant for making a recommendation or providing consultation concerning the appropriateness of or amount charged for a health care service delivered to an enrollee in Indiana may not be based on the amount by which a claim relating to the service is reduced for payment.As added by P.L. 128-1992, SEC.2. Amended by P.L. 260-1995, SEC.8.