Claims Audits. All Claims filed against the District shall be subject to audit at any time following the filing of the Claim. The audit may be performed by employees of the District or by an auditor under contract with the District. No notice is required for any audit beginning before 60 Days after Final Acceptance. Thereafter, the District shall provide a 20-Day notice to the DB Contractor, any Subcontractors, or their respective agents before beginning an audit. The DB Contractor, Subcontractors, or their agents shall provide adequate facilities, acceptable to the District, for the audit during normal business hours. The DB Contractor, Subcontractors, and their agents shall cooperate with the auditors. Failure of the DB Contractor, Subcontractors, or their agents to maintain and retain sufficient records to allow the auditors to verify all or a portion of the Claim or to permit the auditors access to the books and records of the DB Contractor, Subcontractors, or their agents shall constitute a waiver of the Claim and shall bar any recovery thereunder. At a minimum, the auditors shall have available to them the following documents:
Claims Audits. In addition to the other audit rights provided to WellPoint under the Agreement, WellPoint shall have the right, at its own expense, to audit any Claims paid by PBM on behalf of WellPoint or Plan in accordance with the Agreement and this Part D Exhibit.
Claims Audits. A. Owner may audit Claims: All Claims filed against Owner shall be subject to audit at any time following the filing of the Claim. Failure of Contractor, or Subcontractors of any tier, to maintain and retain sufficient records to allow Owner to verify all or a portion of the Claim or to permit Owner access to the books and records of Contractor, or Subcontractors of any tier, shall constitute a waiver of the Claim and shall bar any recovery.
Claims Audits. The Association may inspect and audit the Member’s records relating to all Claims or related matters. The Member shall promptly provide all information requested and shall in all respects cooperate fully in providing information during the course of an audit. At the request of a Member, the Association will enter into a confidentiality and non-disclosure agreement in a form approved by the Association. It will not enter into a Member’s proposed confidentiality and non-disclosure agreement. Any Member that uses a TPA agrees that the TPA is authorized to execute the Association’s confidentiality and non-disclosure agreement on its behalf and that the Member, the TPA, and the Association shall all be bound by its terms. If a Member refuses or otherwise fails to submit reports and information required by the Association in a timely manner, as determined by the Association, or if the Association determines that the reports and information submitted by the Member are not reliable or complete, the Association may, at the Member’s expense, directly, or through an agent (which may be another Member), further audit and inspect such Member’s records and compile the necessary information and data. Ref: Minn. Stat. § 79.35(7). Plan, Article VI.B.5. and VI.F.4. WCRA Claims Reference Guide Operating Rule
Claims Audits. The Association may inspect and audit the Member’s records relating to all claims or related matters. The Member shall timely provide all information requested and shall in all respects cooperate fully in providing information during the course of an audit. Ref: Minn. Stat. § 79.35(g). Plan, Article VI.F.3.
Claims Audits. A. Purpose The following rules are designed to:
