Section 5-10-8.1-6 - Notice of deficiencies in claims(a) The administrator shall pay or deny each clean claim in accordance with section 7 of this chapter.(b) An administrator shall notify a provider of any deficiencies in a submitted claim not more than: (1) thirty (30) days for a claim that is filed electronically; or(2) forty-five (45) days for a claim that is filed on paper; and describe any remedy necessary to establish a clean claim.
(c) Failure of an administrator to notify a provider as required under subsection (b) establishes the submitted claim as a clean claim.As added by P.L. 162-2001, SEC.1. Amended by P.L. 137-2002, SEC.1.