Massachusetts Insurance Overpayment Recovery Laws

The time which has elapsed since the date of payment of the challenged claim does not exceed 12 months.

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The retroactive denial of a previously paid claim may be permitted beyond 12 months from the date of payment only if: (1) claim was submitted fraudulently; (2) claim payment was incorrect because the provider or the insured was already paid ; (3) health care services were not delivered by the physician/provider.