Error in Payment. HCT may, at its sole option, recover payment or retain portions of future payments in the event that HCT determines that an individual was not an eligible Member at the time of services, or in the event of duplicate payment, Improper Payment, payment for non-Covered Services, or fraud. In the event Provider receives an Improper Payment, Provider shall promptly notify HCT of the Improper Payment in writing. Upon notice or identification of an Improper Payment, HCT shall have the ability to recoup or immediately recover the Improper Payment amount from the Provider. If HCT conducts its own audit and discovers an Improper Payment, HCT will notify Provider immediately. If Provider disagrees with a determination of an Improper Payment, Provider must submit, within thirty (30) days after receipt of notification, a written explanation along with all supporting documents. If Provider does not provide explanation, HCT has the right to recoup all Improper Payment. If HCT disagrees with Provider’s written explanation, Provider will have the right to appeal as indicated in HCT’s appeal procedures.
Error in Payment. When an error in payment of wages and/or allowances and/or salary packaging has been made, discussions will take place between the Employee and the Employer/Principal regarding a scheme of payment to rectify the error.
Error in Payment. HCT may, at its sole option, recover payment or retain portions of future payments in the event that HCT determines that an individual was not an eligible Member at the time of services, or in the event of duplicate payment, Improper Payment, payment for non-Covered Services, or fraud. In the event Group receives an Improper Payment, Group shall promptly notify HCT of the Improper Payment in writing. Upon notice or identification of an Improper Payment, HCT shall have the ability to recoup or immediately recover the Improper Payment amount from the Group. If HCT conducts its own audit and discovers an Improper Payment, HCT will notify Group immediately. If Group disagrees with a determination of an Improper Payment, Group must submit, within thirty (30) days after receipt of notification, a written explanation along with all supporting documents. If Group does not provide explanation, HCT has the right to recoup all Improper Payment. If HCT disagrees with Group’s written explanation, Group will have the right to appeal as indicated in HCT’s appeal procedures.
Error in Payment. Broker will reimburse HPHC for any commissions erroneously paid to Broker for any reason. HPHC will offset such commissions against commissions otherwise due Broker. HPHC will adjust payments to Broker for a period of time not to exceed the 12 months immediately preceding the date upon which HPHC receives notice of any error. HPHC may pay commissions retroactively if a Broker of Record letter is not processed correctly. Notwithstanding the preceding sentence, however, no commissions will be paid retroactively more than 12 months.
Error in Payment. Broker will reimburse Health Plan for any broker payments erroneously paid to Broker for any reason, including but not limited to payment resulting from clerical error or payment resulting from a premium payment returned to the Subscriber and/or Groups by Health Plan. Health Plan may collect any payments owed by Broker to Health Plan by offsetting such amounts against broker payments owed by Health Plan to Broker.
Error in Payment. In the event that an error is made in the calculation and/or payment of commission or bonus under this Agreement, regardless of the reason for the error, or which party made the error, both parties agree that correction of the error requiring payments to Producer or recovery of payments from Producer shall be made retroactively for a maximum of one hundred eighty (180) days from the date the error was discovered by KFHP-GA. For errors discovered by Producer, within five (5) business days of discovery, Producer will notify KFHP- GA of any commissions erroneously paid to Producer and will arrange for the reimbursement of any commissions erroneously paid to Producer for any reason including, but not limited to, payment resulting from clerical error or payment resulting from a premium payment returned by KFHP-GA. KFHP-GA will reimburse Producer any commissions owed to Producer within ninety (90) days of discovery by KFHP-GA. KFHP-GA may collect any payments owed by Producer to KFHP-GA in either a lump sum payment or by offsetting such amounts against commissions owed by KFHP-GA to Producer, as determined by KFHP-GA in the exercise of its sole discretion. All financial reconciliation will be completed within ninety (90) days of discovery. This paragraph shall not in any way limit KFHP-GA’s right to collect any indebtedness of Producer to KFHP-GA, through offset of commissions or otherwise, for reasons other than error in calculations.
Error in Payment. Within five (5) business days of discovery, Agent will notify DCPG of any commissions erroneously paid to Agent for any reason including, but not limited to, payment resulting from clerical error or payment resulting from a premium payment returned by DCPG. DCPG may collect any payments owed by Agent to DCPG by offsetting such amounts against commissions owed by DCPG to Agent.
