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Insurance company: "We've determined that the claim we previously paid you for was fraudulent. The services never occurred. You must send us the money back within 21 days, and be aware that criminal charges may be pending."
Me: "Excuse me WTF?"
After much back and forth, it was determined that first, they screwed up by trying to send an Explanation of Benefits to the provider, which they're not supposed to do because this provider doesn't accept assignment (i.e., take insurance.) Then they chose the wrong doctor, who has the same name but is in another state.
This wrong doctor wrote back to them, saying "I am not an optometrist, I have no patient by this name, nor do I live in that state." Rather than retrace their steps to figure out what happened, they just slapped a fraud tag on it. Douchebags.
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