Ohio SB162 amends the timing for health insurers to recoup overpayments from providers.
Ohio SB162 amends the timing for health insurers to recoup overpayments from providers. It specifies that a payment made by a third-party payer to a provider is considered final two years after the payment is made. The third-party payer must inform the provider of any determination of overpayment and provide an opportunity to appeal. If the provider fails to respond to the notice within thirty days or the appeal is not upheld, the third-party payer may initiate recovery of the overpayment.
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