Provider Network Audit
Government of
PUERTO
RICO
RICO
Provider Network Audit - Chapter 48 of the Health Insurance Code
Article 48.130 of the Puerto Rico Health Insurance Code requires every insurer and health services organization that offers medical plans to conduct an annual audit of its provider network by an independent private auditing firm. Below are the results of the audits of the provider networks by insurer or health services organization, that can be access by selecting the name of the insurer or health services organization:
Notice: The information presented below has not been subject to an audit by the OCS. The audits have been prepared by independent private auditing firms. The information presented below has not been subject to an audit by the OCS. The audits have been prepared by independent private auditing firms.
Calendar Year Audits 2023:
World Plaza Building
268 Ave. Muñoz Rivera, 9th Floor
San Juan, PR 00918
P.O. Box 195415
San Juan, PR 00919-5415
Any citizen may report irregularities in the use of public funds or that may represent the crime of fraud or acts of public corruption. Send an email to informa@oig.pr.gov or file your complaint through https://www.oig.pr.gov/informa. You may also contact the confidential line of the Office of the General Inspector (OIG) at 787-679-7979. The whistleblower is protected by law against retaliation for filing a complaint.