posted by ClearCycle
on August 13, 2019
Medical insurance claims tend to be processed and paid very quickly after they are submitted.
Most payments are made to the “Provider” of the services (typically doctors or hospitals). Therefore, most overpayments are made to providers.
In many cases, additional information is received, or claims are audited after the payment is made.
The following chain of events creates claims for overpayments:
In these situations, there is an opportunity for the health insurance company to “Recover” the overpayment (i.e., to get their money back).
In this regard, Clearcycle’s Valupay product has an overpayment collection process that is flexible to allow you to modify it to your overpayment collection system, as necessary.