Appeal process
Ind. Code § 27-1-52-12
in effectSec. 12. (a) An insurer shall provide providers with a clear and accessible process for appealing downcoded claims, including:
(1) a written or electronic notice detailing how to initiate an appeal;
(2) contact information for the individual managing the appeal; and
(3) a timeline for submission of an appeal that is not less than one hundred eighty (180) days.
(b) An insurer shall allow a provider to appeal in batches of similar claims involving substantially similar downcoding issues without restriction.
As added by P.L.88-2026, SEC.6.
Source: Open US Law by Vaquill AI (CC BY 4.0)URL: https://iga.in.gov/laws/2026/ic/titles/27Fetched: 10/17/2026
