Indiana § 27-8-22-4 - Providing copy of claim information to patient

Full text of Indiana Indiana Code § 27-8-22-4 — Providing copy of claim information to patient, with citation guidance and answers to common questions.

§ 27-8-22-4. Providing copy of claim information to patient

Sec. 4. (a) A health care provider shall routinely provide to a patient or the patient's representative, upon request, a copy of the claim information for health care services to the patient that the health care provider submits to the patient's insurance company, Medicare, or other third party payor except Medicaid.

(b) A health care provider is not required by this section to provide the patient with more than one (1) copy of a patient's claim information.

As added by P.L.1-1994, SEC.139.

IC 27-8-22.1Chapter 22.1. Claims

27-8-22.1-1"Accident and sickness insurance policy" defined 27-8-22.1-2"Insurer" defined 27-8-22.1-3"Provider" defined 27-8-22.1-4"Worker's compensation policy" defined 27-8-22.1-5Use of diagnostic or procedure codes

IC 27-8-22.1-1"Accident and sickness insurance policy" defined Sec. 1. As used in this chapter, "accident and sickness insurance policy" means an insurance policy that provides at least one (1) of the types of insurance described in IC 27-1-5-1, Classes 1(b), 2(a), 2(b), 2(e), 2(f), and 2(h).

As added by P.L.161-2001, SEC.4.

IC 27-8-22.1-2"Insurer" defined Sec. 2. As used in this chapter, "insurer" means:

(1) an insurer that issues:

(A) an accident and sickness insurance policy; or

(B) a worker's compensation policy; or

(2) an employer who has received a certificate from the worker's compensation board to carry the employer's worker's compensation risk without insurance under IC 22-3-2-5.

As added by P.L.161-2001, SEC.4.

IC 27-8-22.1-3"Provider" defined Sec. 3. As used in this chapter, "provider" has the meaning set forth in IC 27-8-11-1.

As added by P.L.161-2001, SEC.4.

IC 27-8-22.1-4"Worker's compensation policy" defined Sec. 4. As used in this chapter, "worker's compensation policy" means a policy of insurance issued to an employer under IC 22-3-2-5.

As added by P.L.161-2001, SEC.4.

IC 27-8-22.1-5Use of diagnostic or procedure codes Sec. 5. (a) Not more than ninety (90) days after the date of the version specified in IC 27-1-1.5 of a diagnostic or procedure code described in this subsection:

(1) an insurer shall begin using the version specified in IC 27-1-1.5 of the:

(A) Current Procedural Terminology (CPT);

(B) International Classification of Diseases (ICD);

(C) American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM);

(D) Current Dental Terminology (CDT);

(E) Healthcare Common Procedure Coding System (HCPCS); and

(F) third party administrator (TPA);

codes under which the insurer pays claims for services provided under an accident and sickness insurance policy or a worker's compensation policy; and

(2) a provider shall begin using the version specified in IC 27-1-1.5 of the:

(A) Current Procedural Terminology (CPT);

(B) International Classification of Diseases (ICD);

(C) American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM);

(D) Current Dental Terminology (CDT);

(E) Healthcare Common Procedure Coding System (HCPCS); and

(F) third party administrator (TPA);

codes under which the provider submits claims for payment for services provided under an accident and sickness insurance policy or a worker's compensation policy.

(b) If a provider provides services that are covered under an accident and sickness insurance policy or a worker's compensation policy:

(1) after the date of the version specified in IC 27-1-1.5 of a diagnostic or procedure code described in subsection (a); and

(2) before the insurer begins using the version specified in IC 27-1-1.5 of the diagnostic or procedure code;

the insurer shall reimburse the provider under the version of the diagnostic or procedure code that was specified in IC 27-1-1.5 on the date that the services were provided.

As added by P.L.161-2001, SEC.4. Amended by P.L.66-2002, SEC.16; P.L.124-2018, SEC.84.

IC 27-8-23Chapter 23. Medical Child Support Provisions of Title XIX of the Federal Social Security Act

27-8-23-1Applicable provisions 27-8-23-2Applicability of chapter 27-8-23-3"Child" defined 27-8-23-4"Insurer" 27-8-23-5Prohibited grounds for denial of coverage 27-8-23-6Duties of insurer to noncustodial parent 27-8-23-7Duties of insurer when parent is ordered to provide coverage for child 27-8-23-8Requirements imposed by insurer 27-8-23-9Delivery of policy

Source: official Indiana text · Last verified 2026-08-27

Frequently Asked Questions About Indiana § 27-8-22-4

What does Indiana Code § 27-8-22-4 cover?

Section 27-8-22-4 ("Providing copy of claim information to patient") 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 § 27-8-22-4?

A common citation format is "Indiana Code § 27-8-22-4" (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 § 27-8-22-4 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.