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Overpaid claim settlement
We have just identified that we overpaid a claim settlement during 2018 and are trying to apply SSAP 84. We do not have the right of offset on this contract.
We have not yet invoiced the overpayment. If we sent a letter to the provider stating the facts related to the overpayment, would this suffice as an invoice? Would we then be able to record the receivable as an admitted asset and the clock would then begin on the 90 day aging?
Would we need the provider to agree or confirm the overpayment to record the receivable as an admitted asset?
After reviewing this in more detail, we determined that this is a risk sharing arrangement so would the admissibility of the overpayment be applicable under SSAP 84 paragraph 20 b?
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