Reporting of Claims Payment Data

THIRD-PARTY PAYORS / REIMBURSEMENT

Reporting of Claims Payment Data

RESOLVED, That the North Carolina Medical Society supports requirements mandating that all claims processing organizations in North Carolina, including health insurers and third-party administrators, submit annual reports to the North Carolina Department of Insurance. These reports shall include timeliness of payments, payment and rejection rates, and reasons for rejection. These reports shall be made available to the public.

(Resolution 30-2000, adopted as amended 11/12/2000)
(revised, Report R-2006, Item 62, adopted 10/29/2006)
(reaffirmed, Reaffirmation Report-2013, Item 69, adopted 10/26/2013)
(reaffirmed, Board Report-2018, Item 200, adopted 11/3/2018)

 
 

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