Relevant Statute
§ 38.2-3407.15
Time Period
12 Months
Limits for Recovery on Overpaid Claims
Carrier can only impose retroactive denial of claim if provided the reason for denial, provider was already paid for the services and time period does not exceed the lesser of 12 months or a number of days mentioned in a contract.
Additional Details
None
Exemptions
Does not apply in cases of fraud
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