For overpayment and underpayment notices, do the deadlines run from the date of service, the date the claim was filed, or the date the claim was received by payor?
None of the above. For overpayment and underpayment notices the deadlines run from the date the overpayment or underpayment was received. Q: When calculating the 180 days notice for an overpayment request, how do you determine the payment receipt date? Does it differ based on how the payment was made, for example, mailed, electronic, hand-delivery, etc.? A: 28 Texas Administrative Code ยง21.2810, “Date of Claim Payment,” provides that, in determining compliance with the statutory claims payment period, payment is considered to have been made on the date of: (1) the postmark, if a claim payment is delivered by the United States Postal Service; (2) electronic transmission, if a claim payment is made electronically; (3) delivery of the claim payment to a commercial carrier, such as UPS or Federal Express; or (4) receipt by the physician or provider, if a claim payment is made other than as provided in (1), (2), or (3), above (e.g., hand-delivery). Q: If the provider notifies the carrier of
Related Questions
- For overpayment and underpayment notices, is the 180-day deadline run from the date of service, the date the claim was filed, or the date the claim was received by payor?
- For overpayment and underpayment notices, do the deadlines run from the date of service, the date the claim was filed, or the date the claim was received by payor?
- I already filed a claim to a claim service, what is next?
