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Indiana Administrative Code (Last Updated: December 20, 2016) |
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Title 760. DEPARTMENT OF INSURANCE |
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Article 760IAC1. GENERAL PROVISIONS |
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Rule 760IAC1-59. HMO Grievance Procedures |
Section 760IAC1-59-9. Filing grievances
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(a) A grievance may be filed with an insurer or a health maintenance organization orally, including by telephone, or in writing, including by facsimile or electronic means of communication.
(b) A grievance may be filed with a limited service health maintenance organization, in writing, including by facsimile or electronic means of communication.
(c) A grievance is considered to be filed on the day and time it is first received orally or in writing by the insurer, health maintenance organization, or limited service health maintenance organization.
(d) A grievance may be filed by an enrollee, or a representative of an enrollee, including a health care provider acting on behalf of an enrollee. (Department of Insurance; 760 IAC 1-59-9; filed Sep 30, 1998, 2:17 p.m.: 22 IR 449, eff Jan 1, 1999; filed Feb 17, 2003, 9:57 a.m.: 26 IR 2330; readopted filed Nov 24, 2009, 9:35 a.m.: 20091223-IR-760090791RFA; readopted filed Nov 20, 2015, 9:25 a.m.: 20151216-IR-760150341RFA)