§ 23-63-1802 - Time for recoupment.
23-63-1802. Time for recoupment.
(a) Except in cases of fraud committed by the health care provider, a health care insurer may exercise recoupment from a provider only during the eighteen-month period after the date that the health care insurer paid the claim submitted by the health care provider.
(b) (1) A health care insurer that exercises recoupment under this section shall give the health care provider a written or electronic statement specifying the basis for the recoupment.
(2) At a minimum, the statement shall contain the information required by 23-63-1804.