The MCO shall submit bills electronically to the bureau. The bureau shall review all bills for allowed conditions and allowed claims, and shall pay the MCO for allowed payments after receipt of a proper invoice and after a final adjudication permitting payment for the claim. Upon receipt of payment from the bureau, the MCO shall pay the billing provider within seven days or less, if otherwise agreed by contract between the MCO and the provider.
Effective date: Feb. 16, 1996