R21-1-207. Payment and Review of Claims

A. A healthcare provider shall submit a claim for payment in the manner prescribed by the Department. B. DCS CHP shall not pay a claim for a service if the DCS CHP Member does not keep an appointment, or if a service was not provided. C. A healthcare provider shall provide a covered service to the DCS CHP Member before submitting a claim for the covered service to DCS CHP.