LAC 50:I.4107 – Material

A. Incorrect claim submissions are “material” when the incorrect submissions are five percent or more of the universe of claims under review.
B. Either party may use statistical sampling to determine materiality.

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and 46:437.1-46:440.3.

HISTORICAL NOTE: Promulgated by the Department of Health, Bureau of Health Services Financing, LR 52:691 (May 2026).