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Ex. VT-065 Order Primary source read

Insurance Bulletin No. 211

COVID-19 Suspension of Routine Provider Audits by Insurers

Department of Financial Regulation, Commissioner Pieciak · Vermont (Sector regulator)

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The record

Jurisdiction
Vermont
Level
Sector regulator
Authority
8 V.S.A. § 11(a)(2); 18 V.S.A. § 9401(a)
Issued
2020-03-18 Mar. 18, 2020
Effective
Effective immediately (read as 2020-03-18)
End
Stated to express the Commissioner's view until May 13, 2020; withdrawn effective August 3, 2020 by Bulletin 215 (July 21, 2020) (read as 2020-05-13)
In force
Mar. 18, 2020 to May 13, 2020
Quarters
2020 Q22020 Q3
Limitation types
Health care ordersOther
Addressees
  • health insurers regulated by DFR
  • health care providers
Functions reached
  • IN insurer operations (audit functions suspended)
  • OF billing and compliance staff of providers
Collection
Vermont VT

Operative words

effective immediately, the Department is directing insurers to suspend all routine provider audits. Insurers remain able to conduct audits to prevent and detect ongoing fraud or other current activities that may violate Vermont statutes or regulations.

Enforcement

DFR market conduct