Correcting payments or remittance advice
If you notice an error on your remittance advice,
call the Provider Helpline with details about the error.
Learn the reasons why overpayment or underpayments occur.
Over/underpayments:
Less than $200 to physicians / less than $5,000 to facilities
- Priority Health will make the necessary corrections and adjustments on a future remittance advice.
- We do not auto-recover HRA payments or dental payments for self-funded plan members.
Greater than $200 to physicians/ greater than $5,000 to facilities
- Priority Health will send your office a letter requesting repayment or conveying a check.
- This letter is the only form of notification your office will receive. The claim will not appear on your remittance advice and cannot be viewed on the web.
- We do not auto-recover HRA payments or dental payments for self-funded plan members.
To return an overpayment to Priority Health
- Complete the refund form (153KB PDF), explaining the reason for the return, or
- Copy the overpayment letter from Priority Health, or
- Copy the remittance advice and highlight the member and reason for return, or
- Send a letter with: member name, member ID number, and claim number, date of service, reason for return
Mail with your refund check to:
Priority Health
Attn: Overpayment Refunds
1705 Reliable Parkway
Chicago, IL 60686-3592
