Agency : BWC
Confidential Description : Records contain medical information, audit reports, medical records, investigatory records, financial statements and the name of BWC, PBM employees, and Injured Workers.
Revision : 0
Record Description : The Pharmacy Benefits Manager (PBM) Audits are files that consist of spreadsheets, e-mails, audit reports, eligibility documents, medical documents, billing documents, financial documents, reconciliation documents, final closing settlement documents, draft audit reports, appeals (concerning the lack of controls discovered during the audits), and final audit reports. Statute of limitations applies to these date ranges as follows: Contract termination date prior to 09-28-2005 therefore statute of limitations date is 16 years from date of expiration or termination. Contract termination date 09-28-2005 to 09-28-2012 therefore statute of limitations date is 09-28-2021(Section 4 shortens existing date). Contract termination date after 9-28-2012 to 6-15-2021 therefore statute of limitations date is nine years from date of expiration or termination (O.R.C.2305.06). Contract termination date after 9-16-2021 therefore statute of limitations date is six years from date of expiration or termination (O.R.C.2305.06). Rete