Contractor Suspects Additional Improper Claims

8.3.2.7 – Contractor Suspects Additional Improper Claims (Rev. 11529; Issued: 07-28-2022; Effective: 08-30-2022; Implementation: 08-2022) If the payment suspension is in the process of being terminated or has been terminated, and the UPIC believes that the provider will continue to submit noncovered, misrepresented, or potentially fraudulent claims, the UPIC shall consider implementing or recommending other actions as appropriate (e.g., education, prepayment review, revocation, a new suspension of payment).