Utah Administrative Code
Topic - Insurance
Title R590 - Administration
Rule R590-271 - Data Reporting for Consumer Quality Comparison
Section R590-271-4 - Reporting Requirements
Universal Citation: UT Admin Code R 590-271-4
Current through Bulletin 2024-06, March 15, 2024
(1)
(a) The following electronic data interchange
standards adopted by the UHIN Standards Committee are incorporated by reference
by the commissioner and are available at
https://insurance.utah.gov:
(i) Transparency Administration Performance
Standard, v2.0; and
(ii)
Transparency Denial Standard, v2.0.
(b) An insurer shall submit to the
commissioner a report on each electronic data interchange standard referenced
in Subsection R590-271-4(1)(a).
(c)
Each report shall be submitted using the department's secure file upload site
at https://forms.uid.utah.gov/fileUploads .
(d) Each report shall include data for the
previous calendar year, and shall combine both paper and electronic
claims.
(e) The submission format,
procedures, and guidelines are described in detail in the adopted transparency
standards published by UHIN.
(2) An insurer shall comply with the reporting guidelines, procedures, and format of Rule R428-13 and submit HEDIS data for the preceding calendar year to the Utah Department of Health and Human Services Office of Health Care Statistics.
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