{"data":{"id":"us-ia/iowa-code-510b.8c","jurisdiction":"us-ia","citation":"Iowa Code § 510B.8C","heading":"Clean claims.","body":"After the date of receipt of a clean claim submitted by a pharmacy in a pharmacy network, a pharmacy benefits manager shall not retroactively reduce payment on the claim, either directly or indirectly except in the following circumstances:\n1. The claim is found not to be a clean claim during the course of a routine audit.\n2. The claim submission was fraudulent.\n3. The claim submission was a duplicate submission of a claim for which the pharmacy had already received payment.","path":["Title XIII - COMMERCE (Ch. 505 - 554I)","Chapter 510B - REGULATION OF PHARMACY BENEFITS MANAGERS"],"source_url":"https://www.legis.iowa.gov/docs/code/2026/510B.8C.pdf","current_through":"Iowa Code 2026 edition","vintage":"","retrieved_at":"2026-09-14T19:40:13Z","sha256":"5ab222bcfeaaa14a93f3a18cb1e18e716180ab1545a71f77abefc3be4ca15bfe","source_id":"us-ia","stale":false,"prev":"us-ia/iowa-code-510b.8b","next":"us-ia/iowa-code-510b.8d"},"notice":"GroundRules: Original legal text. Not legal advice."}