UCare MN – In Receivership – Provider Recoupment Process – UCare Minnesota – InReceivership

UCARE MN - IN RECEIVERSHIP - RECOUPMENT DISPUTE

WHAT IF I DISPUTE THE EXISTENCE OR THE AMOUNT
OF A RECOUPMENT OR SET OFF?

If there is a recoupment on an Explanation of Payment and you dispute the recoupment, you may challenge the recoupment by filing your dispute with UCare. To dispute your recoupment with UCare, you must, within 3 months of receiving the Explanation of Payment, upload a Provider Recoupment/Set Off Dispute Form (template form located at ucare-inreceivership.com) explaining that you dispute the existence or amount of the set off.

Disputes must be uploaded at ucare-inreceivership.com, which is HIPAA compliant. Within 60 days of receipt of your completed form, we will advise you of our position on the set off. To continue with this process, follow the instructions below the Forms & Templates on this page.

We anticipate most disputes can be successfully resolved by filing your dispute with UCare using the process described above. If you disagree with the UCare resolution, or if you do not wish to first pursue resolution of your dispute with UCare using the process described above, the dispute shall be resolved by filing the dispute with the Rehabilitation Court for its determination or the determination of a Special Master designated by the Rehabilitation Court to adjudicate such disputes.

FORMS & TEMPLATES

Copies of Forms and Templates may be obtained here

Recoupment Dispute Form and Instructions

Recoupment Dispute Spreadsheet

INSTRUCTIONS

Download the templates(s) you need to report your dispute.
Fill-out the template(s) with as much detail as possible.
Use the Submission Form below to upload your information and template(s) to our receivership team.
You will receive an acknowledgement email indicating your submission has been successfully transmitted.

SUBMISSION FORM