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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-009
Report Type
Audit
Agency Wide
Yes
Number of Recommendations
3
Questioned Costs
$0
Funds for Better Use
$0
External Entity
Blue Cross and Blue Shield Association

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 $1,083,534

We recommend that the Contracting Officer disallow $1,083,534 in FEHBP overcharges due to PNS errors. To date, $228,641 has been recovered and $854,893 remains due to the FEHBP.

3 No $0 $0

We recommend that the Contracting Officer direct the Association to instruct the local BCBS plans to review and update as needed, or institute policies and procedures, to identify all affected claims caused by an update to a provider file and to initiate any recoveries or adjustments warranted by the change in PNS.

Office of Personnel Management OIG

United States