(1) Twelve months or more after the date a claim is paid for health-care services
performed pursuant to this part 6, an insurer may not retroactively adjust the payment
of the claim.
(2) Adjustments to claims made pursuant to a policy providing for medical payments
coverage in cases where a carrier has reported fraud or abuse, pursuant to section 10-1-128(5)(a)(IV), committed by the provider shall not be subject to the requirements of subsection
(1) of this section.
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