Legal Question in Insurance Law in Texas

Insurance Medical Claim Paid then Insurance Company claims overpayment

I am a health provider who submitted claim(s) for proceedures completed out of network. After the normal run around, the health insurance company finally paid the claim(s). Now I receive a letter from the insurance company recovery division claiming an overpayment on these claim(s) and they demand a majority of the claim(s) back. What are my avenues of recourse. Is there any references or information out there as to options on how to handle these situations?


Asked on 9/05/07, 1:13 pm

1 Answer from Attorneys

James Grissom Law Office of James P. Grissom

Re: Insurance Medical Claim Paid then Insurance Company claims overpayment

You may be the victim of an ins. co. scam if your bills were legit & within coverage of the plan. Contact me by email to discuss your further options.

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Answered on 9/05/07, 3:09 pm


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