Palmetto GBA
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West Virginia Part B Carrier
Are You Disputing an Overpayment?

When requesting a redetermination of an overpayment, the identification of the Appeal as an 'Appeal of an Overpayment' is critical in stopping additional funds from being offset in a timely manner. The following steps will help to ensure that your request is received in the appropriate area more quickly and that your offset is stopped in a timely manner while your Appeal is being processed.

In order for Palmetto GBA to stop offsetting your claims, we must be able to identify the redetermination request as a dispute of the overpayment. Check the 'Appeal of an Overpayment' box on the redetermination request form and/or attach a copy of the overpayment letter to your request.

Please go to the following link to select the Redetermination/Reopening Request Form, which is located under Self Service Tools and Top Links:

 

last updated on 07/29/2009