Novitas refund form 2025

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30 December 2024 On December 9, the Centers for Medicare Medicaid Services (CMS) published revised regulations implementing the so-called 60-day rule, under which healthcare providers and other parties generally must report and return any overpayment within 60 days after they have identified it.
Novitas has proudly served as a Medicare Administrative Contractor since 1966, and we contract with the Centers for Medicare Medicaid Services (CMS) to provide quality Medicare administrative services to the beneficiaries in our jurisdiction and the healthcare providers who serve them.
Recoupments by Medicare Advantage plans are regulated by federal law. Under federal law, plans can request a refund for any reason within one year of the date of the payment and within four years from the date of the payment, for good cause. For more information what constitutes good cause, click here.
A refund request form is used to process product refunds online. To eliminate back-and-forth emails and phone calls with customers, accept refund requests directly through your website with a free online Refund Request Form!
Medicare Advantage Under federal law, plans can request a refund for any reason within one year of the date of the payment and within four years from the date of the payment, for good cause. For more information what constitutes good cause, click here.
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People also ask

California. Reimbursement request for the overpayment of a claim shall not be made, unless a written request for reimbursement is sent to provider within 365 days of the date of payment on the overpaid claims.
Medicare claims must be filed no later than 12 months (or 1 full calendar year) after the date when the services were provided unless an exception applies.
If you have a question that contains personal health information or personal identifying information or your question requires immediate attention, please contact our Customer Contact Center (JL: 1-877-235-8073 | JH: 1-855-252-8782) or submit your question through the Novitasphere Portal.

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