Claim reversal, refund request

So my wife sees a therapist that used to be in-network for our insurance plan. A couple years ago the therapist told us she no longer was working with insurance companies but that with our plan she should still be considered in network, we would pay the full bill and then file the claim ourselves with our insurance.

We did this for 2 years and the insurance company would mail us checks for their portion of the bill every time we filed a claim.

Fast forward to a couple months ago, I filed a claim and it was denied. I appealed and I got a letter back saying that it was denied because she was out of network and that all previously approved claims should not have been approved since she was out of network. Now we keep getting bills for refunds for each claim they have paid out to us over the last 2 years.

I am just curious if anyone has any insight on this? It feels really unfair that they can come after us for 2 years worth of payments (about $4000) for something that was their mistake.

We are in Texas by the way.

Thanks to anyone with any advice!

submitted by /u/Figginator11
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