General Category > New!

Refunds

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MBP:
I agree, Pay My Claims you brighten our days!  ;D

oneround:
When I used to work our esheatments we would contact the payors if the payor indicated that they could not retor on their claims we did what we called a 'Good Faith' effort and were allowed to keep the monies.

PMRNC:
There is a lot of controversy over refunds from carriers.. Carriers have written policies that allow them to request refunds but there are some situations they can't.. usually those are situations where by paying the claim has set a "precedence". If you have a patient who's claims were first paid but later the carrier says, the patient terminated and they wanted the money back, they are entitled to that money, there's lots of reason their system didn't pick up the termination date (COBRA, etc)  Each situation has to be evaluated.

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