{"data":{"id":"us-ky/krs-304.17a-712","jurisdiction":"us-ky","citation":"KRS 304.17A-712","heading":"Claim refunds and overpayments.","body":"(1) Except as provided in subsection (2) of this section, if an insurer determines that\npayment was made for services rendered to an individual who was not eligible for\ncoverage or that payment was made for services not covered by a covered person's\nhealth benefit plan, the insurer shall give written notice to the provider and:\n(a) Request a refund from the provider; or\n(b) Make a recoupment of the overpayment from the provider in accordance with\nKRS 304.17A-714.\n(2) An insurer, a pharmacy benefit manager, or a ny other administrator of pharmacy\nbenefits shall not request a refund or make a recoupment in violation of KRS\n304.17A-595.","path":[],"source_url":"https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=55766","current_through":"Includes enactments through the 2026 Regular Session","vintage":"09/05/2026","retrieved_at":"2026-09-05T20:57:48Z","sha256":"cd72b98f9ad33f3d5675703bf33fa93739ced88f9a87a5ea22302f410bc24538","source_id":"us-ky","stale":false,"prev":"us-ky/krs-304.17a-710","next":"us-ky/krs-304.17a-714"},"notice":"GroundRules: Original legal text. Not legal advice."}