Common use of Overpayment Recovery Clause in Contracts

Overpayment Recovery. We may recover any overpayment we make for Services from anyone who receives such an overpayment, or from any person or organization obligated to pay for the Services, to the extent that if we have made payment to a health care provider, we may only retroactively deny reimbursement to the health care provider during the 6-month period after the date we paid the claim submitted by the health care provider. Privacy Practices ▇▇▇▇▇▇ Permanente will protect the privacy of your protected health information (PHI). We also require contracting providers to protect your PHI. Your PHI is individually identifiable information about your health, health care services you receive, or payment for your health care. You may generally see and receive copies of your PHI, correct or update your PHI, and ask us for an accounting of certain disclosures of your PHI. We may use or disclose your PHI for treatment, payment, health research and health care operations purposes, such as measuring the quality of Services. We are sometimes required by law to give PHI to others, such as government agencies or in judicial actions. In addition, Member-identifiable health information is shared with your Group only with your authorization or as otherwise permitted by law. We will not use or disclose your PHI for any other purpose without your (or your representative’s) written authorization, except as described in our Notice of Privacy Practices (see below). Giving us authorization is at your discretion. This is only a brief summary of some of our key privacy practices. Our Notice of Privacy Practices which provides additional information about our privacy practices and your rights regarding your PHI, is available and will be furnished to you upon request. To request a copy, please call our Member Service Call Center (see below). You can also find the notice at your local Plan Facility or on our Web site at ▇▇▇.▇▇.▇▇▇. Inside Washington, D.C., Metropolitan area (▇▇▇) ▇▇▇-▇▇▇▇, or in the Baltimore, Maryland TTY (▇▇▇) ▇▇▇-▇▇▇▇ Outside the Washington, D.C. Metropolitan area ▇-▇▇▇-▇▇▇-▇▇▇▇ APPENDICES

Overpayment Recovery. We may recover any overpayment we make for Services from anyone who receives such an overpayment, or from any person or organization obligated to pay for the Services, to the extent that if written authorization, except as described in our Notice of Privacy Practices (see below). Giving us authorization is at your discretion. This is only a brief summary of some of our key privacy practices. Our Notice of Privacy Practices which provides additional information about our privacy practices and your rights regarding your PHI, is available and will be furnished to you upon request. To request a copy, please call our Member Service Call Center (see below). You can also find the notice at your local Plan Facility or on our Web site at ▇▇▇.▇▇.▇▇▇. Inside Washington, D.C., Metropolitan area (▇▇▇) ▇▇▇-▇▇▇▇, or in the Baltimore, Maryland TTY (▇▇▇) ▇▇▇-▇▇▇▇ Outside the Washington, D.C. Metropolitan area ▇-▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇▇▇▇ FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. By: we have made payment to a health care provider, we may only retroactively deny reimbursement to the health care provider during the 6-month period after the date we paid the claim submitted by the health care provider. Privacy Practices ▇▇▇▇▇▇ Permanente will protect the privacy of your protected health information (PHI). We also require contracting providers to protect your PHI. Your PHI is individually identifiable information about your health, health care services you receive, or payment for your health care. You may generally see and receive copies of your PHI, correct or update your PHI, and ask us for an accounting of certain disclosures of your PHI. We may use or disclose your PHI for treatment, payment, health research and health care operations purposes, such as measuring the quality of Services. We are sometimes required by law to give PHI to others, such as government agencies or in judicial actions. In addition, Member-identifiable health information is shared with your Group only with your authorization or as otherwise permitted by law. We will not use or disclose your PHI for any other purpose without your (or your representative’s) written authorizationKaiser Foundation Health Plan of the Mid-Atlantic States, except as described in our Notice of Privacy Practices (see below). Giving us authorization is at your discretion. This is only a brief summary of some of our key privacy practices. Our Notice of Privacy Practices which provides additional information about our privacy practices and your rights regarding your PHI, is available and will be furnished to you upon request. To request a copy, please call our Member Service Call Center (see below). You can also find the notice at your local Plan Facility or on our Web site at ▇▇▇.▇▇.▇▇▇. Inside Washington, D.C., Metropolitan area (▇▇▇) ▇▇▇-▇▇▇▇, or in the Baltimore, Maryland TTY (▇▇▇) ▇▇▇-▇▇▇▇ Outside the Washington, D.C. Metropolitan area ▇-▇▇▇-▇▇▇-▇▇▇▇ APPENDICESInc.