§ 1301.101 Definition
§ 1301.102 Submission of Claim
§ 1301.1021 Receipt of Claim
§ 1301.103 Deadline for Action On Clean Claims
§ 1301.104 Deadline for Action On Pharmacy Claims; Payment
§ 1301.105 Audited Claims
§ 1301.1051 Completion of Audit
§ 1301.1052 Preferred Provider Appeal After Audit
§ 1301.1053 Deadlines Not Extended
§ 1301.1054 Requests for Additional Information
§ 1301.106 Claims Processing Procedures and Claims Payment Processes
§ 1301.107 Contractual Waiver and Other Actions Prohibited
§ 1301.108 Attorney\’s Fees
§ 1301.109 Applicability to Entities Contracting With Insurer
§ C-1