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Fraud, Abuse, Or Retaliation
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Recommendation Details
Text of Recommendation
We recommend that the Plan strengthen its system controls and/or claims processing procedures to ensure that the appropriate copayment for the facility is applied when procedures are performed at urgent care facilities.
Recommendation Number
12
Recommendation Status
Closed
Significant Recommendation
No
Recommendation Questioned Costs
$0
Recommendation Funds for Better Use
$0