Section 405IAC10-9-4. Provider reimbursement; insurers

Latest version.

   (a) Reimbursement matters including:

(1) the time limit for filing claims; and

(2) rates paid to providers contracting with insurers;

shall be governed by the contract between the provider and the insurer.

  (b) Reimbursement rates paid by insurers to providers without contracts who render services to plan members shall be at plan reimbursement rates governed by IC 12-15-44.2-14(a)(2) [IC 12-15-44.2-14 was repealed by P.L.30-2016, SECTION 18, effective July 1, 2016.].

  (c) No provider retains any independent or duplicative right for reimbursement from the office in addition to or in lieu of reimbursement received from the insurer. (Office of the Secretary of Family and Social Services; 405 IAC 10-9-4; filed May 18, 2015, 12:34 p.m.: 20150617-IR-405140339FRA)

                    
                        var val = document.getElementById('citecontent').innerHTML;
                        art.dialog.defaults.title = window.location.href;
                        art.dialog.data('cite', val);
                        art.dialog.data('homeDemoPath', '/Scripts/plus/artDialog/');
                        art.dialog.open('/Scripts/plus/artDialog/citeiframe.html');