Available For: Part A, Part B, DME

View a summary of an overpayment and actions that have been performed to satisfy the overpayment.

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 a specific Letter Number, ICN/DCN/CCN or Accounts Receivable (AR) Number
  • Letter Number: 8-digit number on upper right-hand corner of demand letter. Exclude alpha character prefix
  • ICN/DCN/CCN (Claim Number): The original claim number. “Claim Co.” on demand letter
  • AR Number: Invoice number of the FCN. This is the adjusted claim number. Enter complete number located above patient details on demand letter. Demand letters ending in “-AG” must be entered in the AR Number field and not the letter number field.
    • Note: When entering the “-AG” FCN, not all patients will display, but just the monetary amount related to the overpayment.
• 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

Note: The Overpayments inquiry will not display information on the following:

• FCNs that are less than 13 digits long
• PLB 72 - Authorized Returns
• PLB FB - Forwarding Balance

Response

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

The information below will ONLY be displayed if the Letter Number is used for the inquiry. If the ICN/DCN/CCN or AR Number is used the below information will not be available.

• 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 (all inquiries):

• AR Number
• Overpayment Original Amount
• Balance Amount

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

• Beneficiary Details - Beneficiary Name, To and From Dates of Service, Claim Number and Patient Control Number (if applicable)
• AR Balance Details - Original overpayment amount, total interest accrued to date, total interest remaining balance and total remaining balance
• AR Collection History - Any collections that have happened through a provider submitted refund check
• AR Recoupment History - Any collections that have happened through an offset
• AR Adjustment History - Any positive or negative adjustments on the overpayment (favorable appeal, treasury collections, C2C, etc.)