Recovery of Underpayments and Overpayments Clause Samples
The "Recovery of Underpayments and Overpayments" clause establishes the right for a party to correct payment errors by recovering amounts that were either underpaid or overpaid. In practice, this means if one party discovers that they have paid too little or too much—perhaps due to a miscalculation or administrative mistake—they can request reimbursement or make an additional payment to rectify the discrepancy. This clause ensures financial accuracy and fairness between parties by providing a clear mechanism for addressing payment errors, thereby preventing disputes and maintaining trust in ongoing transactions.
Recovery of Underpayments and Overpayments. Payer and/or Hospital must provide an explanation as to why it is believed a refund is legitimate including details of their bundling edits, fee schedules, criteria or provider bulletins.
Recovery of Underpayments and Overpayments
