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Oon network refund request

kdodson

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Iam billing for an OON provider & have been receiving recoup requests from different commercial insurance companies. I am thinking that there is some kind of rule or guideline as to wether or not a recoup can be actually taken from an Out of Network Provider or not.

The claims in question are ones that the insurance paid & then later came back & said opps we processed them incorrectly give us all or part of that back. Since we are Out of Network - not contracted, can they do that? :confused:

Any advice is very appreciated.

wowkdodson@gmail.com
 
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