Mont. Admin. r. 37.86.5036

Current through Register Vol. 23, December 6, 2024

Rule 37.86.5036 - HEALTH MAINTENANCE ORGANIZATIONS: THIRD PARTY

(1) The HMO is responsible for investigating third party resources and seeking payment from these sources.

(2) The HMO may retain all funds collected from third party resources.

(3) A complete record of all payments received from third party sources must be maintained and reported as required in the contract.

Mont. Admin. r. 37.86.5036

NEW, 1995 MAR p. 2155, Eff. 9/29/95; TRANS, from SRS, 2000 MAR p. 481.

Sec. 53-2-201 and 53-6-113, MCA; IMP, Sec. 53-2-201, 53-6-101, 53-6-113 and 53-6-116, MCA;