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tci Part B Insider - 2013 Issue 25
Clip and Save: Ensure Payers Correctly Apply Every Refund That You Send
Use this sample letter to provide all of the information your payer needs.
When you send a refund to a payer, you want to be sure that it correctly applies the refund to the proper claim and patient. You can up your chances by always sending a standard form, such as this example, containing pertinent patient, claim, and payment information.
Date:
To: Payer Name
Payer Address
City, ST ZIP
Attention: Overpayment/Refund Department, reference number xxxxxx
RE: Patient Name
DOS: May 13, 2013
Insured ID # 123-456-7890 Provider Name: Jane Jones, M.D. Provider ID#...
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