Relevant Statute
WVC § 33-45-2
Time Period
12 Months
Limits for Recovery on Overpaid Claims
Carrier can only deny a claim where a provider was already paid for the service, claim was not covered under the service and provider not entitled to reimbursement for the period of one reimbursement for the period of one year from the date when the claim was paid to the provider
Additional Details
None
Exemptions
Does not apply in cases of fraud
Need help with insurance overpayments?
Contact Crossroads Health for guidance! We are the complete credit balance solution for healthcare providers.
Request Consultation
