Case Study: Biller’s Contract Breach Results in Client Settlement
When a client recently went uncompensated for months of work due to a biller’s breach of contract, we were able to fight on their behalf to recover a $25,000 settlement. Last spring, one of our clients hired two new pathologists for her team, with a March 1 start...
Aetna to reduce timely filing limits for non-par providers in 2022
Aetna has announced timely filing limits for non-participating providers will be reduced from 27 months to 12 months for traditional medical claims beginning Jan. 1, 2022. Providers should expect to see filing limit denials for this new timeframe beginning in 2023....
UHC placing ‘pre-pay’ review on some Covid claims
Multiple labs we work with have recently received pre-payment records requests from UnitedHealthcare to support their Covid-19 testing. While UHC isn’t denying these tests for improper coding, the payments they’ve put on hold amount to nearly $1 million in...
