From a non-lawyer personal perspective, I dont believe fraud took place. Normally with fraud, you have intent. I dont see intent here. I see a simple mistake and computer error. This may be fixable.
It might take a call to your State Licensing office to see if they can backdate the registration. If so, then your ARNP may be OK. If this were my provider, I woudl hold off refunding until the work with getting the license/registration problem is completed. I would put the claims payments aside in escrow in case refunds are demanded by the carriers in question. If you get a no on the backdating issue, then I would refund with a simple explanation. Luckily I havent had this problem before with licenses. I have had the State contact me that they might revoke a license over what I did, which was bill an insurance company HMO member, but we came out OK. No loss of license. ...
It might take a call to your State Licensing office to see if they can backdate the registration. If so, then your ARNP may be OK. If this were my provider, I woudl hold off refunding until the work with getting the license/registration problem is completed. I would put the claims payments aside in escrow in case refunds are demanded by the carriers in question. If you get a no on the backdating issue, then I would refund with a simple explanation. Luckily I havent had this problem before with licenses. I have had the State contact me that they might revoke a license over what I did, which was bill an insurance company HMO member, but we came out OK. No loss of license. ...
