Text of Recommendation | We recommend that the contracting officer disallow $1,944,914 in overcharges to the FEHBP for 2,243 claims that were incorrectly paid due to a system error related to the bundling of ambulatory payment classification claims. The Plan did not attempt to identify FEHBP claim overpayments or make efforts to recover the overpayments. |
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Recommendation Number | 1 |
Recommendation Status | Open |
Significant Recommendation | No |
Recommendation Questioned Costs | $1,944,914 |
Recommendation Funds for Better Use | $0 |
Submitting OIG | |
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Linked Report |