The information and forms provided on this page are for Non- Contracted Providers ONLY. HPSJ contracted providers should sign into DRE for PDR information and submissions.
Please select the form you would like to download from the following choices:
Providers can request immediate recoupment for overpayments where we issued a demand letter. By using the immediate recoupment process, providers may avoid submitting a check and interest assessments.
You can submit the request for an overpayment(s) related to a specific demand letter or for all future overpayments.
Posted on October 15th, 2020 and last modified on April 13th, 2023.top