Overpayments

Available For: Part B, Part A, DME

View a summary of claims that may have caused an overpayment for your facility.

Inquiry

  • Select Financials from top navigation or home page and then Overpayment Results tab
  • Choose TIN or SSN, NPI and PTAN combination under Provider/Supplier Details
  • Enter in a specific Letter Number, Claim Number (ICN/DCN/CCN) or Accounts Receivable (AR) Number
  • Users may choose one of the following inquiry options
    • Choose “View Results” to view the overpayment results based on your search criteria.
    • Choose “Request Results Summary Download” to request a .CSV file for the Overpayment results based on your search criteria. Note: This inquiry will provide a Reference Number and instructions to use the “My Previous Download Requests” option after a few minutes to download the file.
    • Using “My Previous Download Requests” will provide a listing of previously searched Overpayments with the option to download the .CSV file

Response

The following results will show when the “View Results” option is used for the inquiry.

  • Overpayment Letter Date
  • Original Overpayment Amount
  • Total Interest Accrued to Date
  • Interest Collected/Adjusted to Date
  • Total Interest Remaining Balance
  • Total Principal Remaining
  • Total Remaining Balance

The Cause of Overpayments Results table will provide the following:

  • AR Number
  • Overpayment Original Amount
  • Balance Amount

By choosing the plus symbol (+) by the AR Number, the following additional information will display:

  • Beneficiary Details
  • AR Balance Details
  • AR Collection History
  • AR Recoupment History
  • AR Adjustment History

 

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