Section 22-3-7.2-5 - Notice of deficiencies in claims(a) A payor shall pay or deny each clean claim in accordance with section 6 of this chapter.(b) A payor shall notify a medical service provider of any deficiencies in a submitted claim not more than:(1) thirty (30) days after the date the claim is received by the payor, for a claim that is filed electronically; or(2) forty-five (45) days after the date the claim is received by the payor, for a claim that is filed on paper; and describe any remedy necessary to establish a clean claim.
(c) Failure of a payor to notify a medical service provider as required under subsection (b) establishes the submitted claim as a clean claim. Added by P.L. 160-2022,SEC. 10, eff. 1/1/2023.