Indiana HB1271 regulates health claims, prohibiting insurers and health maintenance organizations from seeking recoupment or refunds of payments made.

Indiana HB1271 amends the Indiana Code to regulate the payment of health claims. It prohibits health maintenance organizations and insurers from seeking recoupment or refunds of payments made to health providers unless the payment was fraudulent, the individual was not entitled to coverage, or the services were not covered. The bill also limits the time frame for seeking recoupment or refunds, sets rules for downcoding of health benefits claims, and mandates that hospitals provide written notice of payment assistance programs to patients.

Indiana HB1271 regulates health claims, prohibiting insurers and health maintenance organizations from seeking recoupment or refunds of payments made.

Indiana HB1271 amends the Indiana Code to regulate the payment of health claims. It prohibits health maintenance organizations and insurers from seeking recoupment or refunds of payments made to health providers unless the payment was fraudulent, the individual was not entitled to coverage, or the services were not covered. The bill also limits the time frame for seeking recoupment or refunds, sets rules for downcoding of health benefits claims, and mandates that hospitals provide written notice of payment assistance programs to patients.