2006 Louisiana Laws - RS 22:250.56 — Thirty-day payment standard; limitations on claim filing and audits

§250.56.  Thirty-day payment standard; limitations on claim filing and audits

A.  A health insurance issuer may elect to utilize a thirty-day payment standard for compliance with R.S. 22:250.53 by providing written notice to the commissioner.  Such notice shall be in a form prescribed by the commissioner and shall remain in effect until withdrawn in writing as may be required by the commissioner.  Any health insurance issuer electing to utilize a thirty-day payment standard shall continue to meet all other requirements of this Part.

B.  Health insurance issuers that limit the period of time that a pharmacist or pharmacy under contract for delivery of covered benefits has to submit claims for payment under R.S. 22:250.53 or 250.54 shall have the same limited period of time following payment of such claims to perform any review or audit for purposes of reconsidering the validity of such claims.

Acts 2004, No. 876, §1, eff. Jan. 1, 2005.