760 IAC 1-38.1-4.3
760 IAC 1-38.1-4.3 "Closed panel plan" defined
Cite as Ind. Admin. Code tit. 760, r. 1-38.1-4.3
Sec. 4.3. As used in this rule, "closed panel plan" means a plan that provides health benefits to covered persons primarily in the form of
services through a panel of providers that have been contracted with or are employed by the plan. The term excludes benefits for services provided
by other providers, except in cases of emergency or referral by a panel member.