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134 chapters · 1,103 sections in this title.
18 V.S.A. ch. 079, § 3801 Definitions
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§ 3801. Definitions As used in this subchapter: (1)(A) “Health insurer” shall have the same meaning as in section 9402 of this title and shall include: (i) a health insurance company, a nonprofit hospital and medical service corporation, and health maintenance organizations; (ii)…
18 V.S.A. ch. 079, § 3802 Pharmacy rights during an audit
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§ 3802. Pharmacy rights during an audit Notwithstanding any provision of law to the contrary, whenever a health insurer, a third-party payer, or an entity representing a responsible party conducts an audit of the records of a pharmacy, the pharmacy shall have a right to all of th…
18 V.S.A. ch. 079, § 3803 Appeals
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§ 3803. Appeals (a) An entity that audits a pharmacy shall provide the pharmacy with a preliminary audit report, which shall be delivered to the pharmacy or to its corporate office of record within 60 days following completion of the audit. (b) A pharmacy shall have 30 days follo…
18 V.S.A. ch. 079, § 3804 Pharmacy audit recoupments
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§ 3804. Pharmacy audit recoupments (a) Recoupment of any disputed funds shall occur only after the final internal disposition of an audit, including the appeals process set forth in section 3803 of this title. (b) An entity conducting an audit may not: (1) include dispensing fees…