This afternoon I received a remit from UBH PMAP taking back payments as far back as February 2016. I called UBH to inquire the issue. They advised they "just found out" the client had primary insurance, BCBS. My response was, we are beyond timely filing to bill the primary insurance. UBH left us with no recourse or options to bill DOS from February 2016 to May 2016 due to timely filing. I then asked for the Appeals Dept.
My question to the community - What is your success going to the Appeals Dept with this kind of case? Can anyone provide insights to insurance payers having the ability of going this far back recouping payments because "they just found." Shouldn't payers have a timely response to these kinds of events vs recouping payments beyond one year after the fact? Thank you all for your time.
Customer support service by UserEcho