11 NCAC 21 .0108. CLAIMS ADMINISTRATION

Latest version.

(a) Each TPA's claims administration service shall be supported by a set of written policies, procedures, and performance standards related to timeliness in payment of claims and its financial operations.

(b) Each TPA shall develop and implement a claims administration internal audit and a quality assurance program to monitor and improve claims processing services.

History Note: Authority G.S. 58-2-40; 58-56-26; 58-56-31; 58-56-51;

Eff. June 1, 1996.

                    
                        var val = document.getElementById('citecontent').innerHTML;
                        art.dialog.defaults.title = window.location.href;
                        art.dialog.data('cite', val);
                        art.dialog.data('homeDemoPath', '/Scripts/plus/artDialog/');
                        art.dialog.open('/Scripts/plus/artDialog/citeiframe.html');