Utah Admin. Code R30-1-5 - Requests for Records
(1) Requests
for records sent by the office shall be:
(a)
in writing and identify the records to be copied; and
(b) mailed by first class postage to the
mailing address on file with the department unless the provider or entity
notifies the office in writing of an alternative physical or email address to
be used for requests for records.
(2)
(a) The
records requested shall be returned within thirty calendar days of the date of
the written request.
(b) A
provider's response to a request for records shall include the complete record
of all services and supporting services for which reimbursement is
claimed.
(3)
(a) If a provider has not provided any
records within the first 20 days from the date of a request, the office shall:
(i) verify the request for records was sent
to the correct address; and
(ii)
attempt to contact the provider before the end of the thirty-day period and
remind the provider the records must be provided within 30 days from the date
of the original request for records.
(b)
(i) If
the provider fails to provide any records within the thirty-day period, the
office shall notify the provider in writing that the records requested were not
received.
(ii) The written notice
to the provider shall indicate the provider has an additional 15 days from the
date of the notification to submit the records or a credit adjustment on the
claim shall be instituted pursuant to Section
R414-1-14,
the Utah Medicaid General Information Provider Manual, and Section
63G-13-202.
Notes
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