Relevant Statute
§ 3224-b
Time Period
24 Months
Limits for Recovery on Overpaid Claims
Prohibit HMOs and other insurers from demanding refunds from a physician more than two years after the claim was initially paid.
Additional Details
Requires 30 days notice to in provider when payer is seeking a refund
Exemptions
Excludes Fraud, abusive billing, and the government & self funded plans.
Need help with insurance overpayments?
Contact Crossroads Health for guidance! We are the complete credit balance solution for healthcare providers.
Request Consultation
