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Claim refunds and overpayments

KRS 304.17A-712
in effect
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304.17A-712. Claim refunds and overpayments (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 any other administrator of pharmacy benefits shall not request a refund or make a recoupment in violation of KRS 304.17A-595. Effective: January 1, 2025 History: Amended 2024 Ky. Acts ch. 104, sec. 11, effective January 1, 2025. -- Created 2000 Ky. Acts ch. 436, sec. 7, effective July 14, 2000.
Source: Kentucky Legislative Research Commission (legislature.ky.gov)URL: https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=55766Fetched: 10/20/2026

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