KRS 304.17A-712: Claim refunds and overpayments.
Where this section sits in the code
(1) Except as provided in subsection (2) of this section, if an insurer determines that
payment was made for services rendered to an individual who was not eligible for
coverage or that payment was made for services not covered by a covered person's
health benefit plan, the insurer shall give written notice to the provider and:
(a) Request a refund from the provider; or
(b) Make a recoupment of the overpayment from the provider in accordance with
KRS 304.17A-714.
(2) An insurer, a pharmacy benefit manager, or a ny other administrator of pharmacy
benefits shall not request a refund or make a recoupment in violation of KRS
304.17A-595.
Collected 2026-09-05T20:57:48Z. Source file · JSON