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Fraud, Abuse, Or Retaliation
Where To Report Waste Fraud, Abuse, Or Retaliation
Recommendation Details
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).
Recommendation Number
3
Recommendation Status
Closed
Significant Recommendation
No
Recommendation Questioned Costs
$0
Recommendation Funds for Better Use
$0