The Contractor will review claims data and provide analysis regarding payments, under payments and over payments and any adjustments and report results to the Board to ensure that the PBM has accurately paid pharmacy claims using the nationally recognized references for the pricing calculations on the date of claims service. E. The Contractor will review data to determine the PBM update the nationally recognized reference prices or amounts used for calculation of reimbursement for prescription drugs and other products and supplies no less than every three (3) business days in accordance with Mississippi Code Annotated, Section 73-21-155(2). F. The Contractor will conduct a analysis, from both chain and independent pharmacies, of paid claims in accordance with state and federal regulations to ensure timeliness, accuracy and compliance with the prompt payment provisions of Mississippi law...
