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
1301.1041 Audit of Pharmacist or Pharmacy
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