A retroactive denial occurs when it is discovered that a claim that was processed
and paid, but which should not have been paid by Arkansas Blue Cross and Blue Shield,
is reprocessed and denied. In such cases, the enrollee may become responsible for
paying the amount billed. A claim may be retroactively denied:
To prevent retroactive denials, make sure that premium payments are made in a timely
manner and that you have told Arkansas Blue Cross about any other health plan coverage.
Despite our best efforts, we may make a claim payment which is not for a benefit
provided under your plan. In the event of an erroneous or mistaken payment, a refund
will be requested. If you have questions regarding a retroactive denial please contact
customer service at 1-800-800-4298 or email
Exchange Customer Service.
Arkansas Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association and is licensed to offer health plans in all 75 counties of Arkansas.
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