Compliance Corner
Whether or not a workers’ compensation claim is paid or denied is the nuts and bolts of compliance, but what are the rules? Here’s what Indiana law provides, as detailed on Simply Research.
Deadlines
A payor shall pay or deny each clean claim as follows:
(1) If the claim is filed electronically, not more than 30 days after the date the claim is received by the payor.
(2) If the claim is filed on paper, not more than 45 days after the date the claim is received by the payor.
When Interest is Due
If:
(1) a payor fails to pay or deny a clean claim in the time required; and
(2) the payor subsequently pays the claim;
the payor shall pay the medical service provider that submitted the claim interest on the amount of the payor’s pecuniary liability under IC 22-3-2 through IC 22-3-7 for the claim paid. Interest for 2026 will be 4% annually; ,04 daily (.04365)
When Interest Accrues, Stops Accruing
Interest paid:
(1) accrues beginning:
(A) 31 days after the date the claim is received; or
(B) 46 days after the date the claim is received; and
(2) stops accruing on the date the claim is paid.
Statutory Source of Interest Rates
In paying interest, a payor shall use the same interest rate as provided in IC 12-15-21-3(7)(A).
