28 CCR §1300.71(b)(3)

August 28, 2020 5:38 pm Published by

(b)(3) If a claim is sent to the plan’s capitated provider and the plan is responsible for adjudicating the claim, the plan’s capitated provider shall forward the claim to the plan within ten (10) working days of the receipt of the claim incorrectly sent to the plan’s capitated provider.

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