Ohio SB162 sets the timing for health insurers to recoup overpayments from providers.

Ohio SB162 amends the Revised Code to establish that a payment made by a third-party payer to a provider is considered final two years after the payment is made. During this period, the third-party payer may initiate recovery of any overpayment. If the provider fails to respond to the notice of the determination of overpayment, the third-party payer may recover the overpayment by deducting the amount from other payments or by taking other available remedies.

Ohio SB162 sets the timing for health insurers to recoup overpayments from providers.

Ohio SB162 amends the Revised Code to establish that a payment made by a third-party payer to a provider is considered final two years after the payment is made. During this period, the third-party payer may initiate recovery of any overpayment. If the provider fails to respond to the notice of the determination of overpayment, the third-party payer may recover the overpayment by deducting the amount from other payments or by taking other available remedies.