Examples of Fraud Division in a sentence
On written request by the Fraud Division or an authorized governmental agency, an insurer or its agents, shall release in a timely and complete manner any or all relevant information deemed important that the insurer may possess relating to any specific incident of insurance fraud.
Notwithstanding any other provisions of these regulations, a complete and executed copy of any such agreement, including all attachments, exhibits and amendments thereto, shall be provided to the Fraud Division upon request by the Fraud Divisionon execution.
For the purpose of this section, timely release of information means immediate, but no more than thirty (30) calendar days after the request or, in the event of a request relating to workers’ compensation insurance fraud, sixty (60) calendar days after the request, unless otherwise agreed to by the Fraud Division.
The insurer and any entity performing the SIU function(s) shall comply with specific sections of the IFPA regarding communication with the Fraud Division and authorized governmental agencies.
The names of personnel whose duties include communication with the Fraud Division on matters related to the reporting, investigation and prosecution of suspected fraudulent claims or other suspected insurance fraud.
The capitation payment deduction is subject to modification when EOHHS determines there is a valid reason that the MCO or ACO could not collect the entire amount of the agreed-upon overpayment, such as a payment hold instituted by the Attorney General’s Medicaid Fraud Division (MFD).
Other information which the Fraud Division or an Authorized Governmental Agency may deem relevant and important.