Text of Recommendation | We recommend that the Plan ensure that all paid claims, including those capitated payments to third party vendors, are included in the MLR filing, as required by 45 CFR 158.140(a). |
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Recommendation Number | 3 |
Recommendation Status | Closed |
Significant Recommendation | No |
Recommendation Questioned Costs | $0 |
Recommendation Funds for Better Use | $0 |
Submitting OIG | |
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Linked Report |