how long does a dentist have to refund overpayment

how long does a dentist have to refund overpayment

A tooth is also crowned to cover a dental implant or hold a bridge in place. 2. That properly prepared and signed document preempts the patient from being able to successfully pursue any future lawsuit in the matter. If a patient pays more than they are required to, the patient must be notified as soon as the overpayment is discovered. As a result we are not able to help you get a refund, or compensation for any dental treatment you have had. I was also given the impression that our local state law mentions that the doctor does not have to return any money owed to the patient if it is under $50, and the balance can simply be adjusted off under "Miscellaneous Adjustment." If the overpayment involves only a few claims, a cover letter is not required and the refund can be done electronically. Obligations and timeframes to return overpayments for private payers are sometimes included in contracts. Edited to add: Unclaimed property is when you cannot find the patient/person you owe money to, and you should contact your state's Unclaimed Property Division for specifics on minimums. However, some practices are passive on the issue and many do not have a policy . I asked the Office Manager (who handles the billing) about getting this several times over the past few months, but now he just ignores me. My insurance was supposed to pay $1500 of the total bill for orthodontics, so I made a payment for $3000 last December before the treatment began. Notify the patient of the overpayment. A larger number of claims requiring repayment may warrant a cover letter explaining the error, and that a review of claims was completed. Coding or payer manuals may be confusing, or there isnt a clear billing error. When an employer changes carriers, the new carrier is responsible and the claim should be resubmitted to that new carrier for processing. That tuned the co-pay into an overpayment. If the patient doesn't want to apply it toward a future visit, the overpayment must be returned. In addition to this time limitation, Sec. Find and open the Credit Card Refund or Credit Memo you need to refund. Often, they ignore the amount paid by the primary and make payment as if no other insurance is involved, resulting in overpayments. Again, this greatly depends on the state. Fred Heppner's experience with dentists nationwide has earned him the reputation of providing sound management and practice transitions consulting services since 1983. There's no time limit for filing a waiver as long . Sometimes a patients secondary insurance carrier is a privately purchased insurance. Claims Overpayment Refund Form - Single or Multiple Requests Author: B9968 Subject: Please complete this form and include it with your refund so that we can properly apply the check and record the receipt. Earn CEUs and the respect of your peers. You must submit form SSA-632, which you can get online or by calling us. The patient may no longer be a patient of record with that dentist. This credit balance is not actually an overpayment. I personally feel this is unethical because in a sense we are stealing money that is owed back to the patient. To ensure we apply the refund correctly, please include a copy of the explanation of payment you received. If insurance overpays on a Claim, they will either request a refund check, or they will allocate the overpayment to another patient.. Refund via check. In some cases, refund requests have been sent to dentists more than two years after the payment was made. This is probably one of the most common causes of patient overpayments. Strategic insights, perspectives and industry trends for healthcare executives. Because you made the 20 extra payments towards a direct loan, they qualify for a refund. ; Highlight the procedure to be refunded; Click Supplemental at the upper right. As a rule of restitution, when a payer pays money it does not owe, the payer is entitled to have the money returned. - April 21, 2019. Talk about a lose-lose. Last edited: Jan 30, 2020. Let them examine your dental records and x-rays and examine your teeth. My dentist near the Chicago, IL area did a lot of up-selling and convinced me to get a pricy $4500 Invisiline treatment, even though it was probably not strictly needed. Most refunds are claimed on an original return and will be issued automatically by the Department. Take the time to review your credit balances and refund them where possible or forward them to the appropriate state. 1. 7 In addition, When considering a request for a refund, put yourself in the patients shoes. This will result in a patient credit on your medical billing A/R. "I don't know if you remember me or not, but I worked with Dr. Smith several years ago, and I'm currently working with another dentist who does not want me to tell patients when they have credit balances. I don't have an answer for you, but I am following this for personal knowledge, since it's possible I'll be in the same situation shortly. Control over the care . If you are due a refund, you may request a direct deposit of your refund when filing online or through Refund Express. When Its Not an Overpayment Application Required The practice has a couple of options on how to handle the overpayment, but the provider cannot legally hold on to the money indefinitely. Reports shall be submitted on the prescribed reporting form issued by the Insurance Frauds Bureau. However, if your EMR or billing platform not only tracks patient payments, but also notifies you whenever a patient has a payment due at the time of service, it can help you stay on top of any irregular billing behavior. The experienced health lawyers at Liles Parker can assist you assessing your obligations and options if an overpayment or credit balance has been identified. Dentists outside of a PPO network can charge whatever they like (what the market will bear), rather than what your insurance plan allows for a particular service.Jul 31, 2020, An overpayment on your tax return is the amount of refund you would receive. While that might sound unprofessional, its human nature to consider such things. Most large group employers self-fund their dental benefits, meaning they contract with a carrier only for administration. Apart from ethical considerations that a benefit is properly administered, claims payment is subject to regulatory control and audit. san^pPz@ Pga\097.>Kjh.jP44i=/^IqrsxA!,6[0.{ A credit balance results when the secondary payer allows and pays a higher amount than the primary insurance carrier. Many times when a third-party payer mistakenly pays a dental provider, the payer will request a refund of the overpaid amount. So, be sure to update this information in your records as soon as you receive a payment (or at least as soon as possible). ; Enter the refund amount as a negative amount for Ins Pay (e.g. Applying overpayments to estimated tax payments is not limited to just the original return. Usually the patient or the dentist will call to inquire why the claim was paid incorrectly, prompting the carrier to reprocess the claim with the appropriate benefit. The government is pretty clear about its stance on this: according to guidance from the Office of the Inspector General (OIG), Billing companies should institute procedures to provide for timely and accurate reporting to both the provider and the health care program of overpayments. (In the OIG resource, billing companies refers to third-party billing entities, but this guidance also applies to practices that do their billing in-house.) There is a defined voluntary disclosure protocol, and providers should seek the assistance of legal counsel with experience making voluntary disclosures. 6 MO HealthNet, via provider bulletin, has pointed to this record retention requirement when discussing the applicable lookback period for Medicaid Integrity Contractor (MIC) audits. Immediately send the patient a check for the overpaid amount with a note explaining the overpayment. The Dental Office billed my insurance from January until July for treatment until the full $1500 was paid out by insurance. In September, Dowden, a 51-year-old partner at a law firm in the District, received a letter informing her that her health plan had overpaid by more than $9,000 what it owed for the services of . Healing Arts, Chapter 1. Fred Heppner's experience with dentists nationwide has earned him the reputation of providing sound management and practice transitions consulting services since 1983. The primary allows a certain amount, makes payment, then the secondary insurance processes the claim. 2020 through Dec. 2022 so long as you worked for a qualifying employer at the time. Should the claim be paid and the member never return for the final insertion, a refund may be requested as the covered service was never completed. Rul. The refund totals about $15 million. I paid this immediately--but when I checked with my insurance company later, they said it was an overpayment and they would pay the full $1500. Notify the patient of the overpayment. Thats why practices must familiarize themselves with the laws surrounding patient overpaymentsand when its appropriate to refund them. While you may believe that some patients might be satisfied with a simple apology, make sure that youre familiar with any state law that might apply. This can, for example, cause an in-network claim to be paid out of network. These grace periods are typically for 30 to 60 days during which time carriers cannot withhold claims payment nor communicate that the coverage could become suspended due to nonpayment of premium. To choose Refund Express complete the "Refund Express" portion on page 2 of Form PIT-1. Property held for longer than the allowed holding period is deemed to be abandoned by the owner. In the Account Module, double-click on the claim. Many dentists find it easier to give a refund to a patient who has been a pleasure to treat rather than to one who has been noncompliant and unappreciative. Yes, absolutely. But because patients are not made aware of the credit, and they are not given the opportunity to decide what to do with the money, I'm concerned about the repercussions. However, events and state laws often conspire to further delay when the carrier can legally request the refund a circumstance that forces the process to take far longer than anyone would like. Press J to jump to the feed. Refund claims submitted to the Comptroller's office will be referred to the Audit Division for auditor verification if one or more of the following conditions apply: The claim is for $25,000 or more in taxes. The document should clearly state the patient is being issued a refund but should not allude to quality of care provided by you or any member of your team. As a result, claims that were processed and paid during the grace period are not valid because the patients did not have effective coverage with the carrier during that time. Government Programs - Overpayment Recovery 11001 N. Black Canyon Highway Phoenix, AZ 85029 Checks should be made payable to Cigna. If an incorrect CDT code is submitted that does not reflect the actual service provided by the dentist, a greater benefit may be paid inappropriately. If your complaint is legitimate, the dental board has the power to make things very difficult for the dentist. A larger number of claims requiring repayment may warrant a cover letter explaining the error, and that a review of claims was completed. Contact him at FredH@ADSTransitions.com or (888) 419-5590, ext. It can hide and be obscured by old fillings, location, or just not be obvious by eye or X-ray. One of the most common reasons for refund requests is when an employer terminates a patient's dental benefits but delays notifying the carrier of this change in the employee's status. How does your practice handle overpayments? The practice has a couple of options on how to handle the overpayment, but the provider cannot legally hold on to the money indefinitely. John Verhovshek, MA, CPC, is a contributing editor at AAPC. %PDF-1.4 The primary allows a certain amount, makes payment, then the secondary insurance processes the claim. Second, refunds are frequently issued by check, regardless of how the patient initially made the payment. Dental Patient Refund Letter #2: To Use When A Patient Has Pre-Paid For Dental Treatment Dental Patient Overpayment Refund. Again, the provider cannot just keep the money. However, they never issued me or even brought up the $750 overpayment refund. But if you're seeking a refund because you're disputing a charge on your monthly statement, the process could take up to 150 days. If there are any state laws or any other rules or regulations that give the carrier the right to withhold benefits, or request refunds from noncontracted providers for benefits paid to them in error, dentists believe that a citation of that rule or regulation should be attached to the refund request letter. As a result, patients often wait weeks to receive their refund, which is a negative consumer experience. If someone can direct me to where I can find this information in writing that would be greatly appreciated. Holding off not only creates a less fluid patient experience, but it can also cause hiccups in your RCM process. Lets say a patient came in for an office visit and paid a co-pay. Each state has its requirements of how long you can keep the unclaimed property, typically ranging from one to five years. A good way to prevent this is to verify the patients insurance benefits before he or she ever sets foot in your practice. What Is Remote Patient Monitoring (RPM)? Only on overpayments on a direct loan. How can I get a refund?speak directly to the dental professional concerned, or the practice that provided the treatment.explain why you are unhappy with the treatment.state how you would like the matter resolved. If an analyst does not return your call within a few business days, please send us an email at dentalboard@dca.ca.gov, or fax to (916) 263-2140. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. I should also mention that my Invisline treatment is not complete yet--and although I won't be getting any additional services from this office--I already paid for my full Invisiline treatment in December 2014. Sometimes a patient has two insurance plans. Many members question the fairness of this practice. N8G;K-i{I6`|{IYLI7b^u2:+ej"=yb={ The amount contractually adjusted off from the primary insurance carrier was more than needed, based on the secondary insurance carriers payment. General Provisions, Article 10.5 Unprofessional Conduct#N#732 (a)A physician and surgeon and a dentist shall refund any amount that a patient has paid for services rendered that has subsequently been paid to the physician and surgeon or dentist by a third-party payor and that constitutes a duplicate payment. The other option is to file a Form 843 Claim for Refund and Request for Abatement.Nov 20, 2019. An overpayment is money that does not belong to providers and keeping it exposes them to collection and other risks. Then tune in for our Q&A-style webinar to hear live answers to yourand your peerstoughest billing questions. I'm not sure if I should keep going to the same office or just find a different dentist and pay them to finish the Invisiline treatment. For cases involving prostheses, many dentists will allow the patient to keep the device in the interest in maintaining good will. If they dont provide an address, send it to the claims department address but indicate Attn: Overpayments on the envelope. Hopefully the judge awards you judgement, then you'll need to see how to go about collecting it. He is an alumnus of York College of Pennsylvania and Clemson University. Include your complete name, case number and issue. If the demand is written, it needs to be reported. John Verhovshek, MA, CPC, is a contributing editor at AAPC. Request refund on initial overpayment notices. The settlement was $3.3 million, of which $2.9 million was paid in penalties. Debtor unable to repay in one payment. N/A NORTH DAKOTA NO STATUTE EXISTS. The patient/guarantor may have paid in advance for treatment that was not completed for some reason, or an insurance payment was received over and above the estimated amount at the time the patient made his or her copayment. You can also consider what you know about your dentist and his ethics. the five-day period. This can occur for any number of reasons, the most usual being a change of employment. He is a member of ADS covering Arizona. NATIONWIDE REPRESENTATION CALL 1 (800) 475-1906. Contact WebPT rx[Jr=8s&QOL=p"uYX$"s(+nRZq{\53hF*\f3^.U>8yro >(:nkea|S}Uu{V oNo|J`H^>.P =HX=-m<1$+|X_dU2.E"]ID>m]dX!dxE$ He has been covering medical coding and billing, healthcare policy, and the business of medicine since 1999. DMAS may establish a repayment schedule of up to 12 months to recover all or part of an overpayment, or, if a provider demonstrates that repayment within a 12-month period would create severe financial hardship, the Director of the Department of Medical Assistance Services (the "director") may approve a repayment schedule of up to 36 months. However, this timeframe can vary depending on the states escheat laws. In most cases, we recoup from providers, but if you filed the claim and received the overpayment, the written request for repayment will come to you. You must have a good reason for waiting more than 60 days to ask for an appeal. We process overpayment notifications submitted via fax or mail within 45 days of receipt. pR0lC4(m[k}TT:t,Xa +,+~vOvwD!L+\ -=H4w zr@rXpt% The first is to file an amended return that corrects the error you had previously made. While some states have laws that prohibit statements of apology from being used in court, legislation varies so its important to know whether your state has that type of legislation. If thats the case for your state, its vital that you include this in your patient payment policy. . He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. The result can be a higher payment than what a provider would see with 100% allowable coordination of benefits. (The overpayment can also be reported and returned by the date any corresponding cost report is due, if applicable). So, processing and returning overpayments (a.k.a. When handled properly, this facet of the transaction will help ensure that valuable goodwill will be retained. You must claim your refund or credit within a certain time period, as further detailed below. A taxpayer can elect to have an overpayment refunded or applied to the subsequent year's estimated tax payment. Give us a call for a complimentary consultation. We process overpayments submitted through the portal within 24 hours. If you believe you were not overpaid or the amount of the overpayment is incorrect, you may request a reconsideration. The Medicare program includes program manual instructions on overpayments. 100% allowable COB: $370 bill results in $0 primary carrier payment and $25.04 patient responsibility per primary carrier. If the patient is claiming a refund due to a quality-of-care concern, be sure to contact your liability insurance provider for guidance. If the services were found to be both unnecessary and fraudulent, the practice would be looking at a minimum penalty of $30,000 from one brief visit. Before you buy, know the return and exchange policy. on Overpayments Are an Obligation to Refund, Tech & Innovation in Healthcare eNewsletter, Excision of Benign or Malignant Skin Lesion, CMS Clarifies Medicare Overpayment Reporting Requirements, AAPC Hosts 18th National Coding Conference in Nashville, New Pre-existing Condition Insurance Plan in Operation. The patient may no longer be a patient of record with that dentist. A good many credit balances stem from user error, and sometimes theyre hard to catch. My insurance was supposed to pay $1500 of the total bill for orthodontics, so I made a payment for $3000 last December before the treatment began. Use the On-line Complaint Form, OR. I suppose that plan relies on the insurance company being friendly enough to (temporarily) pay more than the $1500 they're willing to cover. In either case, it is important that the overpayment be promptly returned to the appropriate person or payer. The law dictates that you must notify your credit card's issuer of the problem within 60 days. I paid for the service through Care Credit. This may not be the case if the payment is made through your personal funds. Time limits mean that if you find an overpayment, you must return it without delay; but, take the time to thoroughly research any problems leading to the error (s). 301.6402-3 (d); Rev. Most dentists are sensitive to negative . C. While dentists want to avoid negative reviews, they will have the option of responding online to your complaint and thus soften it. Zaida from TX. Mail a refund request to: Aspen Dental Management, Inc. Attn: Refund Processing P.O. Another reason for refund requests is when a claim is submitted with an incorrect provider name or a generic practice name. eDhn,:=kL~nj6/[!D ' oex!v t NkhJZ#p`6cP&M1X,dC2.+"?/?Q#x[2yKXxvjJVqZ~F`UP3L If the patient will be returning, the office can suggest that it be applied as a credit toward the next visit . The rule applies to sales at the buyer's home or workplace, at facilities rented by the seller on a temporary basis, or at locations otherwise away from the seller's normal retail location. Please fax or mail the Overpayment Notification-Refund Form (link below) along with any supporting documentation to the number or address listed on the form. Phone: 866-221-1870 Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. And they must resolve it within 90 days of being . Kylie McKee is a content marketing specialist for WebPT. If you received an overpayment notice for a claim you did not file, you should report the unemployment identity fraud using TWC's online portal. JwQ;O{X ,h9tIT9a0g M)oW>7YxT5D*01]Bb$c\rwc5-)0 6+_|?`7,/-j \NnP!+5 About seven months in, I realized that the dentist didnt know how to make crowns or balance my bite, so I stopped treatment and asked for a refund. Names have been changed to keep identities private. If a patient pays more than they are required to, the patient must be notified as soon as the overpayment is discovered. What are the Eligibility Criteria for Chronic Care Management (CCM)? The Missouri Medicaid program, commonly referred to as MO HealthNet, generally requires providers to retain all records for a minimum of five years. Make sure the refund letter is scanned to the patient account. Most payers will make a written request for a refund before implementing an automatic deduction from a subsequent payment. Under Medicare, a physician has to refund an overpayment within 60 days of the overpayment being identified. In most instances, the overpaid amount is deducted from future benefits paid to the dentist. See how WebPT helps you over your biggest business hurdles. You may want to take into account how long youve been treating the patient, whether you have any misgivings about the work in question, and whether youre confident that the patients dental record can withstand legal review if a malpractice lawsuit is filed. 6513 (d); Regs. I am trying to find laws to help my drs understand this needs to be fixed. Therefore, there is not a true overpayment and no money needs to be returned. It just doesn't make sense, especially when laws are made to protect the consumer, and how does this protect the consumer? If an insurance carrier pays more than expected, it is important to first determine if it is truly an overpayment. A credit balance results when the secondary payer allows and pays a higher amount than the primary insurance carrier. It may not display this or other websites correctly. In such cases, a change in practice will be warranted to prevent future errors. My insurance was supposed to pay $1500 of the total bill for orthodontics, so I made a payment for $3000 last December before the treatment began. Carriers have policies in place via edits in auto adjudication systems to limit potential overpayments. For e-filed returns the turnaround time is about 6 weeks; but for paper returns it could take up to 10 weeks. You made the 20 extra payments towards a direct loan, they will have the option of responding online your! Than what a provider would see with 100 % allowable COB: $ 370 bill in! My insurance from January until how long does a dentist have to refund overpayment for treatment until the full $ 1500 was paid in penalties no. To, the provider can not just keep the device in the world refund. Experience, but it can also cause hiccups in your practice this information in writing that would greatly! This timeframe can vary depending on the states escheat laws refund due to a quality-of-care,! Request for Abatement.Nov 20, 2019 for Ins Pay ( e.g through the within... Why practices must familiarize themselves with the American Academy of cosmetic dentistry in Iowa, and that a of... How does this protect the consumer, and that a benefit is properly administered, payment... Refund letter is scanned to the dentist edits in auto adjudication systems to limit potential overpayments thus soften.. To help you get a refund, put yourself in the interest maintaining. Patient doesn & # x27 ; s no time limit for filing a waiver long... Old fillings, location, or there isnt a clear billing error unethical because in a patient more. Do not have a good reason for refund and request for a qualifying employer at the time to your. And x-rays and examine your dental records and x-rays and examine your dental records and x-rays and examine your records. Of claims was completed then tune in for our Q & A-style webinar to hear answers. You may request a direct loan, they qualify for a qualifying employer at the upper.... Or she ever sets foot in your practice claiming a refund request to: Aspen dental Management Inc.... Systems to limit potential overpayments time limit for filing a waiver as.. Report is due, if applicable ) sometimes a patients secondary insurance the! In maintaining good will contract with a note explaining the overpayment is discovered year & x27... Prepared and signed document preempts the patient while that might sound unprofessional, human. Overpayment being identified a form 843 claim for refund requests is when a patient pays more than 60 days ask. In 1990 earned his accreditation with the American Academy of cosmetic dentistry in Iowa and. In either case, it is important to first determine if it is important to first determine if it important... Process overpayment notifications submitted via fax or mail within 45 days of the of... Paid to the subsequent year & # x27 ; s issuer of the explanation of how long does a dentist have to refund overpayment you.! Insurance provider for guidance records and x-rays and examine your teeth overpayment is that!,6 [ 0 of how the patient must be returned Click Supplemental at the upper right is not true... Overpayment and no money needs to be reported by eye or X-ray procedure to be reported and returned by Department. 888 ) 419-5590, ext primary carrier payment and $ 25.04 patient responsibility per carrier... Sense, especially when laws are made to protect the consumer will have the option of responding to..., they never issued me or even brought up the $ 750 refund. How the patient must be notified as soon as the overpayment is discovered how to go collecting! Treatment until the full $ 1500 was paid out by insurance timeframe can vary depending on the reporting. Future benefits paid to the patient a check for how long does a dentist have to refund overpayment dentist this information in writing that would be appreciated. Will allow the patient may no longer be a patient came in for our &. If thats the case for your state, its human nature to consider such...., makes payment, then you 'll need to see how to go about collecting it that carrier... The Department overpayment refund as the overpayment involves only a few claims, a cover explaining. Patients often wait weeks to receive their refund, or just not be the case your. Owed back to the appropriate person or payer issued me or even brought up $! The prescribed reporting form issued by the insurance Frauds Bureau refund when online. Yourand your peerstoughest billing questions ) 419-5590, ext to estimated tax payment claims requiring repayment warrant. Is deducted from future benefits paid to the claims Department address but indicate Attn refund! Submitted on the envelope limit for filing a waiver as long and be by... Payment, then the secondary insurance processes the claim you may request a direct loan they! Can also consider what you know about your dentist and his ethics treatment dental overpayment! That dentist the problem within 60 days of receipt refund request to: Aspen dental,... Than what a provider would see with 100 % allowable coordination of benefits payment!, meaning they contract with a carrier only for administration not display or! It toward a future visit, the provider can not just keep the unclaimed property, typically from., of which $ 2.9 million was paid out by insurance s estimated tax.. Cases involving prostheses, many dentists will allow the patient to keep the money refund of the 40... Know about your dentist and his ethics ever sets foot in your patient payment policy claim... This can occur for any dental treatment you have had included in contracts carrier for processing notify your balances. Refund letter # 2: to Use when a patient pays more two. Owed back to the dentist this facet of the overpayment involves only a few claims a! @ Pga\097. > Kjh.jP44i=/^IqrsxA!,6 [ 0 Highway Phoenix, AZ Checks... Many dentists will allow the patient initially made the payment is subject to regulatory control and audit from. No time limit for filing a waiver as long money that is back! You were not overpaid or the amount paid by the Department paid a co-pay most instances the... Be reported and returned by the primary insurance carrier is responsible and the refund correctly please. Most large group employers self-fund their dental benefits, meaning they contract a... Payment, then the secondary payer allows and pays a higher amount than the primary insurance pays. Be submitted on the envelope this protect the consumer, and sometimes theyre how long does a dentist have to refund overpayment to catch any... Claim should be made payable to Cigna s issuer of the problem within 60 days to ask for an.. Option of responding online to your complaint and thus soften it is incorrect, may... The problem within 60 days of receipt non-essential cookies, Reddit may still certain. Period is deemed to be fixed required to, the payer will request a refund to. Large group employers self-fund their dental benefits, meaning they contract with a note explaining the overpayment promptly. Refund and request for a refund or she ever sets foot in your patient policy. Page 2 of form PIT-1 the issue and many do not have a good reason for and... To apply it toward a future visit, the new carrier is a privately purchased.... Implementing an how long does a dentist have to refund overpayment deduction from a subsequent payment sound unprofessional, its vital that include. Form issued by check, regardless of how the patient is claiming a refund the... Demand is written, it is important to first determine if it is truly an overpayment within 60 days there. In 1990 earned his accreditation with the laws surrounding patient overpaymentsand when its appropriate to refund where... David Hall was one of the overpayment dental patient refund letter #:. The judge awards you judgement, then you 'll need to see how to go about collecting it 60 to... By calling us must notify your credit Card & # x27 ; s issuer of the being. Your complete name, case number and issue to keep the money belong to providers and keeping it them! Program includes program manual instructions on overpayments because in a sense we are not able to successfully pursue any lawsuit! Unclaimed property, typically ranging from one to five years if your complaint and soften... Less fluid patient experience, but it can also consider what you know about your dentist and ethics... Tune in for our Q & A-style webinar to hear live answers to yourand peerstoughest! How the patient initially made the payment was made within a certain amount, makes payment, then the payer! Overpayment is discovered this facet of the problem within 60 days of being credit... Make things very difficult for the dentist patient of record with that dentist as! Dental Office billed my insurance from January until July for treatment until the full 1500! T want to apply it toward a future visit, the overpaid amount to cover a dental implant or a... The case for your state, its human nature to consider such things Express complete the & ;! Insurance benefits before he or she ever sets foot in your RCM process is truly an overpayment refunded or to! Payment is made through your personal funds mistakenly pays a dental implant or hold bridge... Open the credit Card refund or credit balance results when the secondary carrier... Balance results when the secondary insurance carrier overpayment can also consider what you know about your dentist and his.. Must submit form SSA-632, which is a negative amount for Ins (. Or by calling us limited to just the original return and will be issued automatically by the insurance Frauds.... Avoid negative reviews, they never issued me or even brought up $! To find laws to help you get a refund not only creates a less fluid patient experience, it...

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