Sets forth requirements for a utilization review entity that requires prior authorization of a health care service. Provides that a claim for reimbursement for a covered service or item provided to a certain individual may not be denied on the sole basis that the referring provider is an out of network provider. Repeals superseded provisions regarding prior authorization. Makes corresponding changes.
Statutes affected: Introduced Senate Bill (S): 5-10-8-19, 27-1-37.5-1, 27-1-37.5-1.5, 27-1-37.5-1.7, 27-1-37.5-2, 27-1-37.5-4, 27-1-37.5-7, 27-1-37.5-10, 27-1-37.5-12, 27-1-37.5-13, 27-1-37.5-14, 27-1-37.5-15, 27-1-37.5-16, 27-1-37.5-17
Senate Bill (S): 5-10-8-19, 27-1-37.5-1, 27-1-37.5-1.5, 27-1-37.5-1.7, 27-1-37.5-2, 27-1-37.5-4, 27-1-37.5-7, 27-1-37.5-10, 27-1-37.5-12, 27-1-37.5-13, 27-1-37.5-14, 27-1-37.5-15, 27-1-37.5-16, 27-1-37.5-17