Recovery of Overpayments. On occasion a payment will be made to You when You are not covered, for a service that is not Covered, or which is more than is proper. When this happens We will explain the problem to You and You must return the amount of the overpayment to Us within 60 days after receiving notification from Us. However, We shall not initiate overpayment recovery efforts more than 24 months after the original payment was made unless We have a reasonable belief of fraud or other intentional misconduct.
Appears in 31 contracts
Samples: www.bcbswny.com, Preferred Provider Organization Insurance Contract, Preferred Provider Organization Insurance Contract
Recovery of Overpayments. On occasion a payment will may be made to You when You are not covered, for a service that is not Covered, or which is more than is proper. When this happens We will explain the problem to You and You must return the amount of the overpayment to Us within 60 days after receiving notification from Us. However, We shall not initiate overpayment recovery efforts more than 24 months after the original payment was made unless We have a reasonable belief of fraud or other intentional misconduct.
Appears in 27 contracts
Samples: www1.deltadentalins.com, www1.deltadentalins.com, assets.ctfassets.net
Recovery of Overpayments. On occasion a payment will may be made to You when You are not covered, for a service that is not Covered, or which is more than is proper. When this happens happens, We will explain the problem to You and You must return the amount of the overpayment to Us within 60 days after receiving notification from Us. However, We shall not initiate overpayment recovery efforts more than 24 months after the original payment was made unless We have a reasonable belief of fraud or other intentional misconduct.
Appears in 4 contracts
Samples: Preferred Provider, Preferred Provider, Preferred Provider Organization Contract
Recovery of Overpayments. On occasion a payment will be made to You when You are not covered, for a service that is not Coveredcovered, or which is more than is proper. When this happens We will explain the problem to You and You must return the amount of the overpayment to Us within 60 days after receiving notification from Us. However, We shall not initiate overpayment recovery efforts more than 24 months after the original payment was made unless We have a reasonable belief of fraud or other intentional misconduct.
Appears in 2 contracts
Samples: www.aetnastudenthealth.com, www.cdphp.com
Recovery of Overpayments. On occasion a payment will may be made to You when You are not covered, for a service that is not Covered, or which is more than is proper. When this happens happens, We will explain the problem to You and You must return the amount of the overpayment to Us within 60 days after receiving you get notification from Us. However, We shall not initiate overpayment recovery efforts make a request for repayment more than 24 months after the original payment was made unless We have a reasonable belief of fraud or other intentional misconduct.
Appears in 1 contract
Recovery of Overpayments. On occasion a payment will be made to You when You are not covered, for a service that is not Covered, or which is more than is proper. When this happens happens, We will explain the problem to You and You must return the amount of the overpayment to Us within 60 days after receiving notification from Us. However, We shall not initiate overpayment recovery efforts more than 24 months after the original payment was made unless We have a reasonable belief of fraud or other intentional misconduct.
Appears in 1 contract
