Rindahlnicole
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Hello! We billed Humana for a patient for 9 visits total from 12/19/2013-06/13/2014. We were paid on all visits and then over 6 months later get a letter stating that they overpaid because the coordination of benefits are wrong. They state that they are not the primary insurance. The patient has called Humana and told them to change his coordination of benefits as he has never had this insurance (which I double checked, the "primary" insurance has never had him under their coverage). I called to double check that the coordination of benefits have been changed so I could get the refund request removed. One lady told me he had and they were just waiting on the financial recovery center to double check with the other insurance. They transferred me to that section of Humana which told me that it wasn't their responsibility and the COB has not been changed. Then they transferred me back to another lady who told me a whole other thing. Basically they are saying the patient needs to call again and do it all over again because it wasn't updated, even though he already has. PLEASE HELP!! What can I do to get this resolved as now I am having trouble getting a hold of the patient! Sorry for the lengthy explanation.