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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-001
Report Type
Audit
Agency Wide
Yes
Number of Recommendations
10
Questioned Costs
$0
Funds for Better Use
$0
External Entity
Anthem Blue Cross and Blue Shield

Open Recommendations

This report has 3 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
1 No $0 $203,231,446

We recommend that the Contracting Officer disallow $203,231,446 in overcharges to the FEHBP.

6 No $0 $0

We recommend that the Contracting Officer direct the Association to instruct the Plan to institute a secondary review process whenever a processor overrides an FEP debarment edit.

7 No $0 $0

We recommend that the Contracting Officer direct the Association to instruct the Plan to institute edits to prevent claims paying to providers with incomplete files.

Office of Personnel Management OIG

United States