Department of Administration State Employee Benefit Plan, State of Montana 1986

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REVIEW OF PAYMENTS MADE BY THE STATE OF MONTANA AND REQUESTS FOR REIMBURSEMENT GENERATED BY MONTANA PHYSICIANS' SERVICE The agreement between the State and Montana Physicians' Service states in Section VI that, "reimbursement for paid claims shall be made as follows: Upon payment of claims, MPS will notify the State, and the State will transfer money to an account desig- nated by MPS." No problems were noted in the calculation of the amount to be reimbursed to Montana Physicians' Service for pa
...yment of current claims, and fees charged for administration of the Plan as outlined in the State's contract with Montana Physicians' Service. During the course of our review there was no indication that the reimbursements requested by Montana Physicians' Service were for claims other than those previously processed and paid by MPS.
CONFIRMATION OF INDIVIDUAL BENEFIT PAYMENTS WITH STATE EMPLOYEES As part of the scope of our service we confirmed individual benefit payments with the employee who submitted the claim.


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