North Carolina Administrative Code
Title 11 - INSURANCE
Chapter 21 - THIRD PARTY ADMINISTRATORS
Section .0100 - GENERAL PROVISIONS
Section 21 .0108 - CLAIMS ADMINISTRATION
Universal Citation: 11 NC Admin Code 21 .0108
Current through Register Vol. 39, No. 6, September 16, 2024
(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.
Authority
G.S.
58-2-40;
58-56-26;
58-56-31;
58-56-51;
Eff. June 1,
1996;
Pursuant to
G.S.
150B-21.3A, rule is necessary without
substantive public interest Eff. December 16,
2014.
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