What to do if my healthcare company mistakenly paid benefits and now wants reimbursement?
Question Details: My healthcare company sent me a letter that they reimbursed me for a medical claim with a date of service of 14 months ago and that the reimbursement was incorrect. They say that they shouldn't have reimbursed it. It's for roughly $1,300. Can they do this 14 months later? Isn't there some sort of statute of limitations?
Yes, there is a statute of limitations, but in your state it is 6 years (it is the SOL for a contract, since this is pursuant to your healthcare coverage, which is a contract)--they are well in time to seek recovery of an overpayment. And if they did overpay you, you'll have to return the money: the law is very clear that an error does not entitle you to keep money to which you otherwise do not have any right.
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