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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
2022-CAAG-0023
Report Type
Audit
Agency Wide
Yes
Number of Recommendations
4
Questioned Costs
$0
Funds for Better Use
$0
External Entity
Blue Cross and Blue Shield of North Carolina

Open Recommendations

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

We recommend that the contracting officer direct the Association to initiate recovery on and return all funds recovered for those FEHBP claims affected by this system error incurred in 2017 and 2021 that are not included in the totals of this finding.

1 No $1,876,349 $0

We recommend that the contracting officer disallow $1,876,349 in overcharges to the FEHBP due to procedure code modifier claim payment errors.

Office of Personnel Management OIG

United States