Common use of Overpayment Recovery Clause in Contracts

Overpayment Recovery. At ▇▇▇▇▇’ sole discretion, ▇▇▇▇▇ may ▇▇▇▇ 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 ▇▇▇▇▇ not receive payment within the aforementioned timeframe, ▇▇▇▇▇ will, when legally permissible, automatically apply the Overpayment to other outstanding payables on PROVIDER’s account. ▇▇▇▇▇ retains the right to seek assistance from various collection agencies and/or to suspend or permanently terminate PROVIDER from further participation in ▇▇▇▇▇’ 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, ▇▇▇▇▇’ Overpayment recovery efforts shall comply with any legislative or statutory timeframe(s) specified within the jurisdiction where services were provided.

Appears in 3 contracts

Sources: Participating Provider Agreement, Participating Provider Agreement, Participating Provider Agreement

Overpayment Recovery. At ▇▇▇▇▇’ sole discretion, ▇▇▇▇▇ may ▇▇▇▇ 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 ▇▇▇▇▇ not receive payment within the aforementioned timeframe, ▇▇▇▇▇ will, when legally permissible, automatically apply the Overpayment to other outstanding payables payable on PROVIDER’s account. ▇▇▇▇▇ retains the right to seek assistance from various collection agencies and/or to suspend or permanently terminate PROVIDER from further participation in ▇▇▇▇▇’ 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, ▇▇▇▇▇’ Overpayment recovery efforts shall comply with any legislative or statutory timeframe(s) specified within the jurisdiction where services were provided.

Appears in 1 contract

Sources: Participating Provider Agreement

Overpayment Recovery. At ▇▇▇▇▇’ sole discretion, ▇▇▇▇▇ may ▇▇▇▇ 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 ▇▇▇▇▇ not receive payment within the aforementioned timeframe, ▇▇▇▇▇ will, when legally permissible, automatically apply the Overpayment to other outstanding payables on PROVIDER’s account. ▇▇▇▇▇ retains the right to seek assistance from various collection agencies and/or to suspend or permanently terminate PROVIDER from further participation in ▇▇▇▇▇’ 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, ▇▇▇▇▇’ Overpayment recovery efforts shall comply with any legislative or statutory timeframe(s) specified within the jurisdiction where services were provided.

Appears in 1 contract

Sources: Participating Provider Agreement