Since I still have not received a concrete answer from Tri West as to if they will be recouping their RAP payments (the only recoupments we have received were on LUPA’s that we sent RAP’s on first), I made another attempt yesterday to get
a concrete answer. This time I had success. The first lady I spoke to was very nice, she could not answer my question, but I asked her if she had a connection or someone above her who could get the answer and return my phone call. So she did a soft transfer
and connected me with someone who actually processes the claims. I was told, unlike Medicare, Tri West does not take their RAP payment back, what they do, is they adjust their Final payment and do not recoup the RAP payment.
I don’t know if anyone else was waiting to see if their RAP’s would be recouped but I thought I should share. I know some mentioned voiding their RAP’s.
Marnie