Our practice just became in network with UHC as of June. Our effective date was 6/22/18, there was miscommunication with the rep from UHC and the person in our company who signed the contract. The person was under the impression that once the contract was signed and submitted back to the UHC rep, we were in network and able to see patients. We ended up finding out that the effective date was never discussed and we shouldn’t have been seeing UHC patients until 6/22… is there a way to appeal the claims from prior to 6/22/18? Do we have to set it to patient responsibility since we were technically still out of network?
Any advise helps!! A UHC rep told us to just resub the claims after the effective date but we still havent received anything back for the dates prior to 6/22.. not even denials.