Some claims may be retroactively denied, even after the member has obtained services from the provider. A retroactive denial is the reversal of a previously paid claim, through which the member then becomes responsible for payment.

There are ways to prevent this from occurring. You can:

• Notify HealthCare.gov promptly of changes that could impact your eligibility or your premium amount owed.

• Submit requested documentation to HealthCare.gov and/or (issuer name) promptly or within time constraints.

• Pay your monthly premiums on time