What if I already paid for amounts due on "flagged" claims?

Modified on Mon, 5 Aug at 12:50 PM

Question:
In reviewing my claims in HealthLock, I noticed several claims are "flagged." However, I have already paid these amounts. If there is an error, can I get my money refunded, or do I need to take action?


Answer:
If you see "flagged" claims and have already paid them, please click "Lower My Bill" and select "Yes, paid in full" in the Case Survey questions. The survey includes the following questions:

  • Paid anything
  • Paid co-pay
  • Claim on payment plan
  • Received bill or statement
  • Agreed to payment authorization
  • Agreed to terms

Our auditors will review the flagged claims for any errors:

  • No Errors: If the billing is correct and the bill has been paid in full, the provider typically will not lower the bill or issue a refund.
  • Errors Found: If there are errors in the billing, we will work with the provider to correct them. By law, if the provider re-submits the claim to the insurance and the amount you owe is reduced, they are required to refund you the difference. In some cases, if you owe the provider for a different date of service, they may apply the refund toward that amount.

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