- Associated Press - Monday, January 12, 2015

ALBANY, N.Y. (AP) - New York’s attorney general has reached agreement with Excellus Health Plan for the insurer to refund co-payments for primary care medical visits that were wrongly billed in the Rochester area as specialist visits.

The agreement signed by Excellus closes an investigation by the attorney general’s office, which began with a patient complaint about paying $25 at visits to a large primary practice affiliated with the University of Rochester Medical Center, followed by additional bills for $15.

Excellus says it fixed the months-long processing problem last November that resulted from changes in some providers’ tax identification numbers.

The insurer has identified 2,973 primary care claims from providers processed as specialist care that could result in $74,000 in refunds.


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