| (a) If an MCC requests additional information from
a person other than the preferred provider who submitted the claim,
the MCC must provide to the preferred provider who submitted the claim
a notice containing the name of the physician, the provider, or the
other entity from which the MCC is requesting information. The MCC
may not withhold payment beyond the applicable statutory claims payment
period pending receipt of information requested under subsection (b)
of this section. If, on receiving information requested under this
subsection the MCC determines that there was an error in payment of
the claim, the MCC may recover any overpayment under §21.2818
of this title (relating to Overpayment of Claims).
(b) An MCC must request that the entity responding
to a request made under this section attach a copy of the request
to the response. If the request for additional information was submitted
electronically in compliance with applicable federal requirements
concerning electronic transactions, the responding entity must submit
the response in compliance with those requirements, if applicable.
(c) Receipt of a request or a response to a request
under this section is subject to the provisions of §21.2816 of
this title (relating to Date of Receipt).
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