Fed Regist. 2011 Jun 24;76(122):37202-6.
This document amends the regulations of the Department of Veterans Affairs (VA) concerning the reimbursement of medical care and services delivered to veterans for nonservice-connected conditions. This rule applies in situations where third-party payers are required to reimburse VA for costs related to care provided by VA to a veteran covered under the third-party payer's plan. This final rule adds a new section barring offsets by third-party payers and requires that third-party payers submit a request for a refund for claims when there is an alleged overpayment.
本文件修订了退伍军人事务部(VA)关于向退伍军人提供非与服役相关病症的医疗护理和服务报销的规定。本规则适用于第三方支付者需要向VA偿还与VA向第三方支付者计划所涵盖的退伍军人提供护理相关费用的情况。本最终规则新增了一个条款,禁止第三方支付者进行抵扣,并要求第三方支付者在存在所谓多付款项时提交退款申请。