Restored Benefits Applied to Established Overpayment

When Used: When an Underpayment amount is applied to an existing Overpayment Claim

Special Instruction: Append the Change NOA

The benefits you are owed for *MM/YYYY* for the amount of *$AMOUNT* are being applied to a previously established overpayment. You will not receive the benefit indicated above.

Spanish Translation:

Los beneficios que se le adeudan por *MM/AAAA* por el monto de *MONTO$* se están aplicando a un sobrepago establecido previamente. No recibirá el beneficio indicado arriba.