Provider Overpayment definition

Provider Overpayment means a payment made by the Authority or Contractor to a Provider in excess of the correct payment amount for a service.
View Source

Examples of Provider Overpayment in a sentence

  • Subject to the exception(s) set forth in this Section 4, Employer agrees that Claim Administrator will recover Overpayments in accordance with its Recovery Process and that Employer has no separate or independent right to recover any Provider Overpayment from Claim Administrator, Providers, or Another Plan.

  • Adjustments to encounter claims in the event Subcontractor recovers any Provider Overpayment from a Provider.

  • In the event of an established Provider Overpayment or underpayment, the CONTRACTOR shall adjust, void, or replace, as appropriate, each Encounter Claim to reflect the proper Claim adjudication.

  • Subject to the exception(s) set forth in this Section 4, Employer agrees that Claim Administrator shall administer Overpayment recoveries in accordance with its Recovery Process and that Employer has no separate or independent right to recover any Provider Overpayment from Claim Administrator, Providers, or Another Plan.