Common use of Correction of claims payments Clause in Contracts

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. United, as a third party administrator for the VA, may recover from Provider amounts owed to United under this AmendmentAgreement. 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 requests, or correction of claim payments will waive any right by Provider to subsequently seek such payment or correction of payment under this AmendmentAgreement, 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 Agreement against future payments otherwise due to ProviderProvider under this Agreement.