Must insurance payments made in error be returned?
Healthcare organizations sometimes receive payments made in error from insurance companies. Such payments may occur when insurance companies do not determine that a person receiving care was not covered until after the care has been provided and the bill has been paid. A review of pertinent cases in this area suggests that a legal precedent exists for viewing a healthcare organization as an innocent third-party creditor, thus absolving it of the responsibility to return the mistaken payment.
University of Wisconsin-Milwaukee, USA.
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Sturm
D000067:Accounts Payable and Receivable; D005377:Financial Management, Hospital / Q000331:legislation & jurisprudence*; D007196:Indiana; D007343:Insurance Carriers / Q000331:legislation & jurisprudence*; D007349:Insurance, Health, Reimbursement / Q000331:legislation & jurisprudence*; D016365:Liability, Legal; D008922:Mississippi; D009329:Nebraska; D010350:Patient Credit and Collection / Q000331:legislation & jurisprudence; D013781:Texas; D014481:United States