Indiana Administrative Code
Title 405 - OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES
Article 1 - MEDICAID PROVIDERS AND SERVICES
Rule 1.6 - Managed Care Provider Reimbursement Dispute Resolution
Section 1.6-6 - Record keeping and reporting requirements
Universal Citation: 405 IN Admin Code 1.6-6
Current through March 20, 2024
Authority: IC 12-15-1-10; IC 12-15-21-2; IC 12-15-21-3
Affected: IC 12-15
Sec. 6.
The MCO shall maintain a log of all written informal provider objections to determinations and formal provider appeals involving claims. The logged information shall include the:
(1) provider's name;
(2) date of objection;
(3) nature of the objection; and
(4) disposition.
The MCO shall submit quarterly reports to the office regarding the number and type of provider objections and appeals.
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