In order to qualify for the 10% reimbursement refund, denied or appealed claims for dates of service exceeding one year, must have been previously submitted within the required twelve month time frame.

AdminaStar will create reports to identify the claims that qualify for the refund of the automatic 10% reimbursement reduction. They will then furnish the Part-B ambulance providers with a listing of all claims that have qualified for the 10% refund and will generate a manual check. With the extension of the filing deadline until June 30, 2001, the refund process will also be moved back to occur on or about July 30, 2001. This will be a one time only process.

Any resubmitted claims received by AdminaStar after June 30, 2001 that are more than twelve months after the date of service will be subject to the 10% automatic reimbursement reduction and the 10% reduction will not be refunded regardless of the original filing date.