11 N.C. Admin. Code 21.0108

Current through Register Vol. 39, No. 12, December 1, 2024

Section 21 .0108 - CLAIMS ADMINISTRATION

(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.

11 N.C. Admin. Code 21 .0108

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.

Authority G.S. 58-2-40; 58-56-26; 58-56-31; 58-56-51;
Eff. June 1, 1996.