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Title: Section 69-10.5 - Claims Submission Process

Effective Date


69-10.5 Claims Submission Process.

(a) All providers providing services to an enrollee must accept assignment of payment from the Fund.

(b) The claims submission process will include both electronic and manual options for submission of claims.

(c) The unique enrollee identifier must be included in the designated area of the claim form.

(d) Claims shall be submitted within 90 days of the date of service and will be paid within 45 days of receipt of an acceptable claim form. A request for permission to submit a claim later than 90 days from the date of service may be granted by the Fund Administrator upon a showing of good cause for the delay.


VOLUME A-1a (Title 10)