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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-CAAG-022
Report Type
Audit
Location

FL
United States

Number of Recommendations
2
Questioned Costs
$0
Funds for Better Use
$0
External Entity
Blue Cross Blue Shield of Florida

Open Recommendations

This report has 2 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
1 No $0 $0

We recommend that the Contracting Officer require the Association to update its claims processing system with edits to ensure that claim lines with telehealth related place of service and procedure code modifiers suspend prior to payment for review.

2 No $0 $66,962

We recommend that the Contracting Officer require the Association to reprocess the identified claims with its updated claim edits to determine if they were properly paid and if not, to return any identified overpayments to the FEHBP.

Office of Personnel Management OIG

United States