108C-6. Agents, clearinghouses, and alternate payees; registration required.
The Department is authorized to establish a registry of billing agents, clearinghouses, and/or alternate payees that submit claims on behalf of providers and to charge a fee to recover the costs of maintaining the registry in accordance with 42 U.S.C. 1396a(a)(79) and implementing regulations. All billing agents, clearinghouses, or alternate payees shall register with the Department before submitting claims on behalf of providers or within six months of enactment of this Chapter, whichever is later. Any billing agent, clearinghouse, or alternate payee that fails to register with the Department prior to submitting claims on behalf of providers shall be excluded from the registry for a period not to exceed one year. (2011-399, s. 1.)
Structure North Carolina General Statutes
North Carolina General Statutes
Chapter 108C - Medicaid Provider Requirements
§ 108C-1 - (Effective until contingency met see note) Scope; applicability of this Chapter.
§ 108C-2 - (Effective until contingency met see note) Definitions.
§ 108C-2.1 - Provider application and revalidation fee.
§ 108C-3 - (Effective until contingency met see note) Medicaid and Health Choice provider screening.
§ 108C-5 - Payment suspension and audits utilizing extrapolation.
§ 108C-5.1 - Post-payment review and recovery audit contracts.
§ 108C-6 - Agents, clearinghouses, and alternate payees; registration required.
§ 108C-7 - Prepayment claims review.
§ 108C-8 - (Effective until contingency met see note) Threshold recovery amount.
§ 108C-9 - (Effective until contingency met see note) Provider enrollment criteria.
§ 108C-10 - Change of ownership and successor liability.
§ 108C-11 - Cooperation with investigations and audits.