Recoupments - Required disclosures

If a healthcare insurer exercises recoupment, then the healthcare insurer shall provide the healthcare provider written documentation that specifies the: (1) Amount of the recoupment; (2) Covered person's name to whom the recoupment applies; (3) Patient identification number; (4) Date or dates of service; (5) Service or services on which the recoupment is based; (6) Pending claims being recouped or future claims that will be recouped; and (7) Specific reason for the recoupment. Acts 2005, No. 422, § 1. If a healthcare insurer exercises recoupment, then the healthcare insurer shall provide the healthcare provider written documentation that specifies the: (1) Amount of the recoupment; (2) Covered person's name to whom the recoupment applies; (3) Patient identification number; (4) Date or dates of service; (5) Service or services on which the recoupment is based; (6) Pending claims being recouped or future claims that will be recouped; and (7) Specific reason for the recoupment. Acts 2005, No. 422, § 1.