Ind. Code § 27-1-52-12
Appeal process
Indiana · Indiana Code Title 27 — Insurance · Status: effective
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- Citation
- Ind. Code § 27-1-52-12, Appeal process, Indiana, version 1 as recorded 2026-09-28, yourstate.us, https://yourstate.us/provision/1662839
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Full text
Sec. 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.