2017 Arizona Revised Statutes
Title 20 - Insurance
§ 20-3324 Applicability

Universal Citation: AZ Rev Stat § 20-3324 (2017)

20-3324. Applicability

A. Notwithstanding any other law, this article applies only to audits conducted of pharmacies located in this state.

B. This article does not apply to claims reviews that are initiated within three business days after transmission of a claim in which no chargeback or recoupment is demanded.

C. This article does not apply to an audit conducted in which a suspicion of fraudulent activity or other intentional and wilful misrepresentation is evidenced by physical review, review of claims data, statements or other investigative methods. The reason for an audit specified in this subsection shall be documented and available on request.

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