Section 27-8-16-0.5 - Applicability of chapter(a) This chapter applies to the following: (1) A person who conducts medical claims review concerning health care services delivered to an enrollee in Indiana.(2) A person who acts as a claim review consultant concerning the: (A) appropriateness of; or(B) amount charged for; a health care service delivered to an enrollee in Indiana.
(b) This chapter does not apply to: (1) the payment of benefits or compensation;(2) the furnishing of medical, surgical, hospital, or nursing services; or(3) the payment by an insurer or employer to the provider of health care services for services provided; under IC 22.
As added by P.L. 260-1995, SEC.1.