insurance overpayment recovery

Insurance Recoupments Explained: Why Carriers Claw Back Payments Months Later?

Healthcare professionals are asking a question that hits every revenue cycle manager hard: “Insurance recoupments months after surgery  how is this even legal?” The frustration is real and widespread. One practitioner laid out the impossible situation: “We do everything right on our end: Verify benefits, Obtain prior authorization, Perform the surgery, Receive payment. Then MONTHS later, we get hit with a recoupment notice. The reason? Coordination of Benefits (COB).” This isn’t a billing error. This isn’t a documentation problem. Healthcare