healthcare company mistakenly paid benefits – wants reimbursement

my healthcare company sent me a letter dated 3/17/2017 that they reimbursed me
for a medical claim with a date of service of 1/26/16 and that the reimbursement
was incorrect – 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?
Thanks

Asked on March 14, 2017 under Insurance Law, Georgia

Answers:

SJZ, Member, New York Bar / FreeAdvice Contributing Attorney

Answered 3 years ago | Contributor

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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