Current through Register Vol. XLI, No. 50, December 13, 2024
Section 69-3-2 - Definitions2.1. The following words and phrases as used in these rules, unless a different meaning is clearly indicated by the context, shall have the meanings stated below.2.2. The "Act" means the Omnibus Health Care Act which is codified at W. Va. Code § 16-29D-1 et seq, as amended.2.3. "Legitimate uncontested invoice" means a claim for payment for medical services delivered to a beneficiary of a department or division subject to the Act, received by that department or division in a manner prescribed and with all information, whether from the provider, beneficiary, or other third-party payor, stipulated by that department or division, and for which there is no action necessary for coordination of benefits, subrogation or other good cause to establish the legitimacy of the claim.2.4. "Secretary" means the Secretary of the West Virginia Department of Health and Human Resources.