Relevant Statute
§ 31A-26-301.6
Time Period
12 Months
Limits for Recovery on Overpaid Claims
The insurer may recover any amount improperly paid to a provider or an insured (a) within 24 months of the amount improperly paid for a coordination of benefits error; (b) within
12 months of the amount improperly paid for any other reason; or (c) within 36 months of the amount improperly paid when the improper payment was due to a recovery by Medicaid, Medicare, the Children's Health Insurance Program, or any other state or federal health care program.
Additional Details
None
Exemptions
None
Need help with insurance overpayments?
Contact Crossroads Health for guidance! We are the complete credit balance solution for healthcare providers.
Request Consultation