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Unsolicited/Voluntary Refunds (to be used when NOT
sending a check)
When Medicare identifies that an overpayment has occurred, a letter
requesting a refund is sent to the provider. These letters include all
the necessary beneficiary information and reason for the request.
Payment is due when the letter of request is received. If payment is not
received within 30 days, interest will be applied to the outstanding
balance. After 40 days, any unsatisfied refund requests will generate
an offset on the Remittance Advice (RA). Offsets to payments are
shown as an adjustment from the provider’s payment at the summary level
of the RA rather than as an adjustment against an individual claim.
If you do not agree that an overpayment exists, you may request an
appeal. However, requesting an appeal will not delay accumulation of
interest.
When a healthcare provider finds that Medicare has overpaid them,
they should:
Send it to your carrier’s address for Provider Inquiries. In
turn you will receive a letter requesting a refund.
Please click on the correct MSP or NON-MSP buttons prior to
printing. This will assist in speedy routing of your request to
the correct department for handling.
The below forms are to be used only if the provider is including a
check with the forms:
Part B Refunds Only
When a healthcare provider receives a letter from Medicare asking for
a refund, they should:
- Send a copy of the letter along with a check that covers the
overpaid amount to Medicare Services, P.O. Box 8075, Little Rock, AR
72203; or
- Send a copy of the letter and a completed Medicare "B"
Overpayment Notification form indicating that you want the amount to
be offset from future payments, to your carrier’s address for
Provider Inquiries.
Note: If the amount of the unsolicited/voluntary refund check
exceeds the amount of the original claim, Medicare contractors shall
check all categories of open account(s) receivable. If an outstanding
receivable is identified, the contractor shall apply the remaining
amount of the refund to the outstanding balance. If there are multiple
outstanding accounts receivables, then the excess funds should be
applied to the oldest accounts receivable first - interest then
principal.
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