Indiana § 27-1-52-9 - Limitation on use of automated process, system, or tool
Full text of Indiana Indiana Code § 27-1-52-9 — Limitation on use of automated process, system, or tool, with citation guidance and answers to common questions.
§ 27-1-52-9. Limitation on use of automated process, system, or tool
Sec. 9. (a) An insurer may not use an automated:
(1) process;
(2) system; or
(3) tool, including artificial intelligence;
as the sole basis to downcode a claim based on medical necessity without the review of the covered individual's medical record by an employee or contractor of the insurer.
(b) A provider may not use an automated:
(1) process;
(2) system; or
(3) tool, including artificial intelligence;
to submit a health benefits claim without the review of a provider or other person involved in the development of the claim for submission.
(c) An insurer must disclose in an easily accessible and readable manner when artificial intelligence is used to:
(1) make an adverse determination on a prior authorization request; or
(2) downcode a claim.
As added by P.L.88-2026, SEC.6.
Source: official Indiana text · Last verified 2026-08-27
Frequently Asked Questions About Indiana § 27-1-52-9
What does Indiana Code § 27-1-52-9 cover?
Section 27-1-52-9 ("Limitation on use of automated process, system, or tool") is part of the Indiana Code, the codified statutory law of Indiana. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Indiana § 27-1-52-9?
A common citation format is "Indiana Code § 27-1-52-9" (Indiana). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Indiana law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Indiana official source linked on this page or consult a licensed Indiana attorney.
How does Indiana § 27-1-52-9 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Indiana can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Indiana.