Overpayment Recovery. At XXXXX’ sole discretion, XXXXX may xxxx PROVIDER or Participating Provider for an Overpayment. PROVIDER shall be responsible to remit payment on such an Overpayment invoice within forty-five (45) days from receipt of invoice. Should XXXXX not receive payment within the aforementioned timeframe, XXXXX will, when legally permissible, automatically apply the Overpayment to other outstanding payables on PROVIDER’s account. XXXXX retains the right to seek assistance from various collection agencies and/or to suspend or permanently terminate PROVIDER from further participation in XXXXX’ network in accordance with the suspension and termination provisions set forth in this Agreement. Notwithstanding the foregoing, should this provision conflict with any applicable rules and regulations, said rules and regulations shall govern. Notwithstanding the foregoing, XXXXX’ Overpayment recovery efforts shall comply with any legislative or statutory timeframe(s) specified within the jurisdiction where services were provided.
Appears in 3 contracts
Samples: Participating Provider Agreement, Participating Provider Agreement, Participating Provider Agreement
Overpayment Recovery. At XXXXX’ sole discretion, XXXXX may xxxx bill PROVIDER or Participating Provider for an Overpayment. PROVIDER shall be responsible to remit payment on such an Overpayment invoice within forty-five (45) days from receipt of invoice. Should XXXXX not receive payment within the aforementioned timeframe, XXXXX will, when legally permissible, automatically apply the Overpayment to other outstanding payables payable on PROVIDER’s account. XXXXX retains the right to seek assistance from various collection agencies and/or to suspend or permanently terminate PROVIDER from further participation in XXXXX’ network in accordance with the suspension and termination provisions set forth in this Agreement. However, this forty-five (45) day timeframe is stayed during any internal payment appeal process or state sponsored binding payment arbitration proceedings. Notwithstanding the foregoing, should this provision conflict with any applicable rules and regulations, said rules and regulations shall govern. Notwithstanding the foregoing, XXXXX’ Overpayment recovery efforts shall comply with any legislative or statutory timeframe(s) specified within the jurisdiction where services were provided.
Appears in 1 contract
Samples: Participating Provider Agreement
Overpayment Recovery. At XXXXX’ sole discretion, XXXXX may xxxx bill PROVIDER or Participating Provider for an Overpayment. PROVIDER shall be responsible to remit payment on such an Overpayment invoice within forty-five (45) days from receipt of invoice. Should XXXXX not receive payment within the aforementioned timeframe, XXXXX will, when legally permissible, automatically apply the Overpayment to other outstanding payables on PROVIDER’s account. XXXXX retains the right to seek assistance from various collection agencies and/or to suspend or permanently terminate PROVIDER from further participation in XXXXX’ network in accordance with the suspension and termination provisions set forth in this Agreement. Notwithstanding the foregoing, should this provision conflict with any applicable rules and regulations, said rules and regulations shall govern. Notwithstanding the foregoing, XXXXX’ Overpayment recovery efforts shall comply with any legislative or statutory timeframe(s) specified within the jurisdiction where services were provided.
Appears in 1 contract
Samples: Participating Provider Agreement