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Workers Comp Unwrapped 403; Retroactive Denials & Overpayment Audits: When Paid Claims Get Pulled Back
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Getting paid used to mean a claim was closed.
In 2026, that assumption can cost medical providers millions.
In this episode of Workers’ Comp Unwrapped, Anique and Angela break down the growing trend of retroactive denials, overpayment audits, refund demands, and recoupment threats where insurers attempt to claw back money long after payment has been issued.
We cover:
Why carriers are revisiting already-paid claims
How overpayment audits actually start
The difference between a refund request and a legal obligation
Common mistakes providers make when audit letters arrive
How to…
The skinny
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