What if I already paid the amount on a "Flagged" claim?

Modified on Wed, 12 Nov at 5:10 PM

Question:

While reviewing my claims in HealthLock, I noticed several are marked as “Flagged.” However, I’ve already paid these amounts. If there’s an error, can I get a refund, or do I need to take any action?


Answer:

If you see flagged claims that you’ve already paid, please click “LOWER MY BILL” and select “Yes, paid in full” in the Case Survey that appears.


The Case Survey will ask you a few questions, specifically:

  • Have you paid anything? Options include Yes, paid in full, Yes, partially paid, No, and I don't know.

  • Have you received any documents? Options include Yes, No / I don't know. Please upload the invoice/bill or any other supporting documents.

  • Anything else that we need to know? The more information you provide, the quicker we can resolve the issue. Any details you can provide—such as the claim number, provider name, carrier, and a description of the situation—would be greatly appreciated. 


Once submitted, our auditors will review the flagged claims for potential errors:

  • No Errors Found:
    If the billing is correct and the bill has already been paid in full, the provider typically will not lower the bill or issue a refund.

  • Errors Found:
    If errors are discovered, we’ll work with your provider to correct them. By law, if the provider re-submits the claim to your insurance company and your balance is reduced, they are required to refund you the difference. In some cases, if you owe the provider for another date of service, the provider may apply the refund toward that outstanding balance.

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