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Payment and Interest Demand Letter
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CLAIMS PROBLEMS

Prepared by Michael A. Goldberg, Ph.D.

Updated June 2, 2015

Massachusetts General Laws requires health plans to pay interest on “clean” claims that contain all the required information within 45 days, if and only if the provider sends a written demand for such payment. Interest payment begin 45 days from date of the written demand letter.

Sending such a demand letter immediately when there are claims problems that are not being reasonably handled within 45 days often results in quicker and more effective response to the claims from health plans. 

 

 DRAFT TEMPLATE PAYMENT AND INTEREST DEMAND LETTER

 Date

 

Dear Sir or Madam:

In accordance with Chapter 176G, Section 6 of the Massachusetts General Laws, please provide immediate payment with interest for the claims listed on the enclosed table. All the information necessary to process these claims has been submitted as required and requested. These claims were submitted properly within the contractual filing limits.

 

As required by law, please pay interest for these claims accruing from 45 days after receipt of request for reimbursement at the rate of 1.5 per cent per month.

Sincerely,

 


 

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