R428-15-3. Reporting Requirements

Latest version.

  (1) Each carrier shall submit health care claims data described in the Data Submission Guide for Claims Data for each covered person where Utah is the covered person's primary residence, regardless of where the services are provided.

  (2) Each carrier shall submit data for all fields contained in the Data Submission Guide for Claims Data if the data are available to the carrier. Each carrier shall notify the Office or its designee of any data elements that are required to be reported under this rule, but that are not available to the carrier.

  (3) Each carrier shall submit the health care claims data on a monthly basis.

  (4) Each monthly submission is due no later than the last day of the month following the month in which the carrier adjudicated the claim.

                    
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