Claim overpayment adjustment

Sec. 11. Every subsequent claim that is adjusted by an insurer for reimbursement on an overpayment of a previous provider claim made to the provider must be accompanied by an explanation of the reason for the adjustment, including: (1) an identification of: (A) the claim on which the overpayment was made; and (B) if ascertainable, the party financially responsible for the overpaid amount; and (2) the amount of the overpayment that is being reimbursed to the insurer through the adjusted subsequent claim. As added by P.L.55-2006, SEC.2.