Correction of claims payments. If Facility does not seek correction of a given claim payment or denial by giving notice to United within 12 months after the claim was initially processed, it will have waived any right to subsequently seek such correction under this section 6.10, or through dispute resolution under Article VII of this Agreement or in any other forum. Facility will repay overpayments within 30 days of written or electronic notice of the overpayment. Facility will promptly report any credit balance that it maintains with regard to any claim overpayment under this Agreement, and will return the overpayment to United within 30 days after posting it as a credit balance. Recovery of overpayments may be accomplished by offsets against future payments.
Correction of claims payments. United, as a third party administrator for the VA, may recover from Provider amounts owed to United under this Amendment. Where a claim is denied partially or in its entirety, Provider must file a written reconsideration request in accordance with the VA CCN Requirements within ninety (90) calendar days from the date of denial. Where a claim has not been denied partially or in its entirety, but the Provider believes the claim has been incorrectly paid, the Provider must seek correction of a given claim payment by giving written notice to United within twelve (12) months after the claim was initially processed. Provider’s failure to comply with the foregoing or any other VA CCN Requirements pertaining to timely filing, reconsideration requests or correction of claim payments will waive any right by Provider to subsequently seek such payment or correction of payment under this Amendment, or through dispute resolution or in any other forum. United shall have the right, upon written or electronic notice to Provider, to offset overpayments and other amounts Provider owes United under this Amendment against future payments otherwise due to Provider.
Correction of claims payments. In the event that either Party believes that a claim has not been paid correctly, or that funds were paid beyond or outside of what is provided for under this Agreement, either Party may seek correction of the payment, except that Ancillary Provider may not seek correction of a payment more than 12 months after it was made. Ancillary Provider will repay overpayments within 30 days of written or electronic notice of the overpayment. Ancillary Provider will promptly report any credit balance that it maintains with regard to any claim overpayment under this Agreement, and will return the overpayment to United within 30 days after posting it as a credit balance. Ancillary Provider agrees that recovery of overpayments may be accomplished by offsets against future payments.
Correction of claims payments. OPSS, as a third party administrator for the VA, may recover from Provider amounts owed to OPSS pursuant to VA CCN Requirements, and in accordance with the statute of limitations applicable therein, including payments that were made beyond or outside what is provided for under this Amendment. If Provider does not seek correction of a given claim payment or denial by giving notice to OPSS within 12 months after the claim was initially processed, it will have waived any right to subsequently seek such correction under this section, or through dispute resolution or in any other forum. Subject to the VA CCN Requirements, OPSS shall have the right to offset overpayments and other amounts Provider owes OPSS against future payments otherwise due to Provider.
