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Report File
Date Issued
Submitting OIG
Office of Personnel Management OIG
Agencies Reviewed/Investigated
Office of Personnel Management
Components
Federal Employees Health Benefits Program
Report Number
2024-ERAG-004
Report Type
Audit
Agency Wide
Yes
Number of Recommendations
8
Questioned Costs
$445,502
Funds for Better Use
$0
Report updated under NDAA 5274
No
External Entity
HMO Missouri, Inc.

Open Recommendations

This report has 1 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
4 No $177,662 $0

We recommend that the contracting officer require the Plan to return $177,662 to the FEHBP for the questioned uncollected claim overpayments, whether recovered or not, as diligent efforts to recover these overpayments were not made. If the Plan repays these questioned overpayments of $177,662 to the FEHBP during the audit resolution process, then the contracting officer should allow the Plan to keep whatever funds are subsequently recovered for these overpayments.

Office of Personnel Management OIG

United States