Ariz. Admin. Code § R6-6-1304 - Monitoring and Compliance

The Division shall monitor third-party payments made to service providers. The Division shall determine whether a service provider is in compliance with the requirements set forth in this Article by inspecting documents to assess:

1. Verifiability and reliability;

2. Appropriateness of recovery attempt;

3. Timeliness of billing;

4. Accounting for reimbursements;

5. Auditing of receipts;

6. Provision of claim and explanation of benefits to the Division;

7. Auditing of receipts;

8. Other monitoring which the Division deems reasonably necessary to ensure compliance.

Notes

Ariz. Admin. Code § R6-6-1304

Adopted effective June 7, 1993, under an exemption from A.R.S. Title 41, Chapter 6 (Supp. 93-2). Former Section R6-6-1304 renumbered to Section R6-6-1303, new Section R6-6-1304 renumbered from R6-6-1305 and amended effective September, 30, 1993, under an exemption from A.R.S. Title 41, Chapter 6 (Supp. 93-3).