Overpayment refund.
OK, I am sure this has been asked and answered several times but I cant find a response to reconfirm. We have a claim were the insurance left the patient with a non-covered amount of about...
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Are you contracted with the insurance company?I would refund only the amount that was overpaid. In other words, any amount over 100% of your charges.If you aren't contracted, then you do not have to...
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Thanks, I know you would have the answer. We are not contracted so we will send them back the $ over the charged amount.Thanks!Melina
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OK Ive got another one .Provider non contracting but the insurance is telling me that they are allowed to recoup from future payments. My understanding from the previous response was that they could...
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Got a question also. I have bunch of refund requests (we are a non contract provider) for variour reasons. If we do not have a contract with any insurance company, can tell them to go jump in a lake?...
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If the carrier is due the refund, such as the total amount they paid is more than your charges, they are due the refund. For example: Charge: $100 and the paid $120. They are due $20.If they are...
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because in Texas, for any non-contracted provider, and any contracted provider for which your contract was executed/renewed after a certain date, there are definite time-frames the carrier has to...
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I tried to tell them the can not recoup from future claims but they insist they have the right to do so, it's not illegal.Is there documentation I can provide the Physician and the insurance that they...
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In Florida, Florida Statute 641.3155 prohibits a carrier from offsetting or reducing payment without the provider's written consent.
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I ll see if I can find something for California. Thanks for you help!
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I am having the same problem where the insurance company wants to recoup their money through future claim payments. We are located in Illinois, and I can not find any laws or regulations on that...
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With non-contracted carriers, the answer is prevention!!!As I have stated many times. When you are dealing with non-contracted carriers, you are gambling with your money.1) The carrier owes you no...
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I completely understand that as a non contacting provider the patient is responsible. See... I'm stuck. In our facility we have a professional side (contracted) and a surgical facility side...
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I understand what you are going through because I have a provider that has the same mentality and is constantly complaining that she is not making any money. I simply tell her that the problem lies...
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Um, because our non-contracted charges per treatment run an average of $1500, and this is three times a week for the rest of the patients' lives or until they transplant?Half our revenue is...
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You're 2 cents are noted and I understand you completely.But, from what I see, being called in to practices that are drowning and one step from bankruptcy, what other answer can be given?You are in a...
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Just wanted to give an update on what I was going through with these refunds. Basically what I wanted to find out was; was there a statute in Illinois against insurance companies who recoup their...
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