MEDICAL REVIEW: I’m appealing my claim but received a letter to recoup funds from the TPE denial. What do I do about these letters?
The recoupment process stops during appeal. Once the appeals department has a request for redetermination, they contact the ORU. If an appeal is not requested, the recoupment process continues. You should stop getting letters if the claim pays in appeals. Recoupment requests will resume if the redetermination is not favorable.