tci Medicare Compliance & Reimbursement - 2013 Issue 16

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, State, 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# 00011122222 Dear Sir/Madam, Please find...

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