Utah Admin. Code R270-1-28 - Requirements for Payment
(1)
The office shall only pay for expenses that are directly related to the
victimization.
(2) The office shall
only pay for services provided and billed in the usual and customary course of
business.
(3) The office reserves
the right to audit the records of medical facilities and medical service
providers who request reimbursement from the office.
(4) The office may not pay:
(a) interest, finance, or collection fees;
or
(b) any costs associated with
the collection and testing of evidence unless the collection is performed by a
medical service provider and tested at a licensed medical facility.
(5)
(a) If a victim has medical insurance or
another collateral source to pay for services, the office may only pay up to
the remaining portion of the bill that the victim is obligated to pay after
each other collateral source has paid.
(b) A reparations officer may waive the
requirement in Subsection (5)(a) if:
(i) it
appears likely that compliance would compromise a victim's;
(A) safety;
(B) quality or continuation of care;
or
(C) access to services due to
distance, lack or transportation or other relevant circumstances; or
(ii) there are financial or
practical circumstances which constitute a reasonable basis for a
waiver.
Notes
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