If we inform you of an overpaid claim that you do not disagree with, send us the refund check or recoupment request within 30 calendar days (or as required by law or your Agreement) from the date of notification. We may apply the overpayment against future claim payments unless your Agreement states otherwise or as required by law. If you find we overpaid for a claim, use the Overpayment Refund/Notification Form. Call 1-800-727-6735 with questions related to overpayments. Send refunds to:
UnitedHealthcare Insurance Company
P.O. Box 101760 Atlanta, GA 30392-1760
UnitedHealthcare Insurance Company – Overnight Delivery
3585 Atlanta Ave
Hapeville, GA 30354
Include documentation that shows the overpayment, including member’s name, health plan ID number, date of service and amount paid. If possible, also include a copy of the provider remittance advice (PRA) that corresponds with our payment. If the refund is owed because of COB with another carrier, provide a copy of the other carrier’s EOB/remittance advice with the refund.
If we find a claim was paid incorrectly, we may make a claim adjustment. You will see the adjustment on the EOB or PRA.
If you disagree with the claim adjustment, or request for an overpayment refund or recoupment, you may submit your disagreement within 30 calendar days (or as required by law or your Agreement) from the date of receipt of notification. You must clearly state the items in your disagreement and include any relevant and supporting documentation.
Direct Connect is a no-cost, web-based platform that helps payers and health care providers communicate effectively, automate workflows and drive resolutions. This portal can replace previous methods of letters, faxes, phone calls and spreadsheets. It also helps:
For more information, contact the Optum Direct Connect Team at email@example.com.