Our Right to Make Payments and Recover Overpayments Clause Samples
This clause grants the party the authority to make payments on behalf of another party and to recover any amounts that were overpaid. In practice, this means that if an overpayment is identified—such as a duplicate payment or an error in calculation—the party can seek reimbursement or offset the excess from future payments. The core function of this clause is to ensure financial accuracy and fairness by providing a clear mechanism for correcting payment mistakes and preventing unjust enrichment.
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Our Right to Make Payments and Recover Overpayments. If payments which should have been made by us according to this provision have actually been made by another organization, we have the right to pay those organizations the amounts we decide are necessary to satisfy the rules of this provision. These amounts are considered benefits provided under this agreement and we are not liable for them. If we have made payments for allowable expenses which are more than the maximum amount needed to satisfy the conditions of this provision, we have the right to recover the excess amounts from: the person to or for whom the payments were made; any other insurers; and/or any other organizations (as we decide). As the subscriber, you agree to pay back any excess amount, provide information and assistance, or do whatever is necessary to recover this COB DIR DEN (09-10) excess amount. When determining the amount of payments made we include the reasonable cash value of any benefits provided in the form of services. COB DIR DEN (09-10)
Our Right to Make Payments and Recover Overpayments. If payments which should have been made by us according to this provision have actually been made by another organization, we have the right to pay those organizations the amounts we decide are necessary to satisfy the rules of this provision. These amounts are considered benefits provided under this plan and we will not have to pay those amounts again. If we make payments for allowable expenses, which are more than the maximum amount needed to satisfy the conditions of this provision, we have the right to recover the excess amounts from: • the person to or for whom the payments were made; • any other insurers; and/or • any other organizations (as we decide). As the subscriber, you agree to pay back any excess amount paid, provide information and assistance, or do whatever is necessary to aid in the recovery of this excess amount. The amount of payments made includes the reasonable cash value of any