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Kentucky · Snapshot 09/05/2026

KRS 304.17A-712: Claim refunds and overpayments.

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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

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