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Report File
Date Issued
Submitting OIG
Office of Personnel Management OIG
Other Participating OIGs
Office of Personnel Management OIG
Agencies Reviewed/Investigated
Office of Personnel Management
Components
Federal Employees Health Benefits Program
Report Number
2023-ERAG-005
Report Type
Audit
Location

Durham, NC
United States

Number of Recommendations
8
Questioned Costs
$951,142
Funds for Better Use
$0
External Entity
Blue Cross Blue Shield of North Carolina

Open Recommendations

This report has 1 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
1 No $0 $642,579

We recommend that the contracting officer require the Plan to recover and return $642,579 to the FEHBP for the questioned claim overpayments (currently set up as provider offsets). If these overpayments are determined to be uncollectible, then the contracting officer should require the Plan to provide adequate documentation demonstrating that all prompt and diligent efforts were made to recover these funds before writing them off, as required by the FEHBP contract.

Office of Personnel Management OIG

United States