Prohibition on denial of claim based on out of network provider referral

Ind. Code § 27-13-36.2-10
in effect
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Sec. 10. (a) This section applies to an individual contract and a group contract that is entered into, delivered, amended, or renewed after June 30, 2025. (b) A health maintenance organization may not deny a claim for reimbursement for a covered service or item provided to an enrollee on the sole basis that the referring provider is an out of network provider. As added by P.L.144-2025, SEC.38 and P.L.215-2025, SEC.65.
Source: Open US Law by Vaquill AI (CC BY 4.0)URL: https://iga.in.gov/laws/2026/ic/titles/27Fetched: 10/17/2026

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