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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