EileenC
Contributor
Hi out there
Has anyone ever had this situation and able to comment on it?
Recently, we found that one of our insurance carriers has been processing claims for one of our specialists with a pcp copay instead of a speacialist copay. Now, they have reprocessed claims for the last 6 years and taken back $60,000!!
Is there anything we can do??? This was their error and there is no way we will ever recoup this much from our patients, some of whom we probably will never be able to locate. I believe the carrier should take some responsibility instead of the provider bearing all the weight???
thanks for any input.
Eileen
Pennsylvania
Has anyone ever had this situation and able to comment on it?
Recently, we found that one of our insurance carriers has been processing claims for one of our specialists with a pcp copay instead of a speacialist copay. Now, they have reprocessed claims for the last 6 years and taken back $60,000!!
Is there anything we can do??? This was their error and there is no way we will ever recoup this much from our patients, some of whom we probably will never be able to locate. I believe the carrier should take some responsibility instead of the provider bearing all the weight???
thanks for any input.
Eileen
Pennsylvania