News Headlines Article

Insurer told to stop chasing old overpayments
Modern Healthcare

Anthem Blue Cross has received an order from the California Department of Managed Health Care to stop trying to recoup overpayments on old medical claims.

The state department said that between 2008 and 2011, Anthem sought reimbursement from 535 providers for overpayments on medical claims that were more than a year old. Under California law, health plans have only a year to recoup overpayments on medical claims unless they can show that a provider engaged in fraud or misrepresentation.