How to calculate Recoupment/Overpayment Deadlines

• Insurer’s recoupment requests for underpayment must be submitted to Florida licensed physicians within 12 months after the date of payment of the claim.

• Provider must submit a written response to the overpayment request within 35 days of receipt of the recoupment request.

• Insurer may not set off the amounts sought unless the provider agrees to the reduction in writing or fails to respond to the overpayment request.