| § 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 Certain Pharmacy Claims |
| § 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 |
