Billing Beat

Adjustments Will Be Applied to Overpaid Medicare Supplement Claims

May 20, 2013

A system error caused duplicate Medicare Supplement claim payments to be issued to providers who submitted corrected claims intended to replace previously processed claims.  Typically, BCBSNC just reverses and cancels out the first claim received, and reprocess the corrected claim for an additional payment or refund request.  However, when corrected Medicare Supplement claims were processed from September 2012 through April 2013, this system error prevented the reversal of payment on the original claims, which then resulted in overpayments being issued. The problem within the claims processing system is now corrected.  BCBSNC will be making adjustments to the original claims beginning May 14, again on May 21, and concluding on June 4 for any final adjustments that may be necessary.

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