Iowa HF637 establishes rules for dental carriers to recover overpayments from dental care providers.

Iowa HF637 mandates that dental carriers establish written policies and procedures for providers to appeal overpayment recovery requests. The bill requires carriers to notify providers of these policies and procedures within 90 days of receiving notice of an overpayment. The notice must identify the error in the claim processing or payment and request recovery of the overpayment. A carrier may recover an overpayment by withholding or reducing payment for a different claim, provided the provider is notified within 28 days of the withholding or reduction.

Iowa HF637 establishes rules for dental carriers to recover overpayments from dental care providers.

Iowa HF637 mandates that dental carriers establish written policies and procedures for providers to appeal overpayment recovery requests. The bill requires carriers to notify providers of these policies and procedures within 90 days of receiving notice of an overpayment. The notice must identify the error in the claim processing or payment and request recovery of the overpayment. A carrier may recover an overpayment by withholding or reducing payment for a different claim, provided the provider is notified within 28 days of the withholding or reduction.