Section 418.101404. Access to carrier data for payment of medical claims.


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  • Rule 1404. (1) The workers' compensation agency shall have access  to payment data from the carrier in the form of the carrier's explanation of benefits and medical bills for the purposes of data analysis.

    (2)   A carrier shall be notified by the agency when information  is  to be submitted not less than 60 days before the date required.

    (3)   The agency shall ensure confidentiality of the billing records provided by the selected carriers.

History: 1998-2000 AACS; 2005 AACS.