BCBSNC to eliminate manual refund invoices under $30
Effective October 1, 2011, providers must complete form G252 to initiate a refund request under $30. When a provider identifies an overpayment under $30 and notifies BCBSNC, BCBSNC will no longer send manual refund requests to providers. Participating providers agree that in the event of any overpayment, duplicate payment, or other payment in excess of the member's benefits payable according to the member's benefit plan, payment will be promptly remitted to BCBSNC by following the outlined procedure below. BCBSNC may recover overpayments by offset against current or future amounts payable to you after 45 days of a request for a refund. If within 45 days of this request, if the requested refund has not been made and you have not disputed the payment error, BCBSNC may recover this amount by offset of future amounts payable to you. Prior to recovery by offset BCBSNC will make best efforts to first recover this overpayment through a written request for the refund.
When you notice an overpayment
Complete form G252 - refund of overpayment form (Provider Blue Book - see chapter 23, Forms) or write a letter including the following information:
- The amount of the overpayment
- The member's ID number associated with the overpayment
- Date of service
- Provider number under which service was paid
- Copy of the EOP/NOP
- The reason you believe the payment is in error
Mail a check, along with a copy of your letter or G252 form, to:
Financial Processing Services
Blue Cross and Blue Shield of North Carolina
PO Box 30048
Durham, NC 27702-3048
For questions related to overpayments, call the Provider Blue Line at 1-800-214-4844 or Inter-Plan Programs at 1-800-487-5522 and speak with a representative.