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Wiki Humana audit and sequestration applies

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marynichols79

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We have receive a LOT of Humana that they have took back money stating the allowable is more than they had originally stated and taking back on over 500 claims so far from 2015, 2016. but when I checked the mcr allowable for non facility, they were still not at mcr allowable, so I am trying to figure out where they got the numbers from. Plus trying to talk to someone is impossible, ive tried for over 2 weeks and if they call back it is after hours! Can someone help me with this, or is anyone else having this issue?? :( im totally lost and don't know what else to do as I wait for them to call.....

I would appreciate any info on this issue.

thank you

Mary
 
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