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Overpayment Recovery Codes Guide - Aetna

Electronic Remittance Advice (ERA) Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies. ( Aetna ) KR-0302-12 Aetna Provider eSolutionsSM Overpayment Recovery Codes When Overpayment Recovery is initiated from a provider who has ERA, specific adjustment Codes are used to indicate the reason for adjusting the provider payment amount in the ERA. The following Codes apply to ERAs generated for claims processed on Aetna s strategic claim system ( Aetna Claim Adjudication System, or ACAS).

overpayment recovery initiation is delayed for the length of time specified by state regulations or contract requirements. If the provider does not return funds within the specified period of time, overpayment recovery is then initiated and the ERA carries claim details.

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