OverpaymentsInformation and Instructions for Handling OverpaymentsIn case of an overpayment, duplicate payment or other payment in excess of the member's benefits payable according to the member's benefit plan, payment should be promptly remitted to BCBSNC by completing the appropriate form and mailing it with a check to one of the following addresses: For Blue Medicare HMOSM and Blue Medicare PPOSM Complete the Provider Inquiry Form and mail it with a check to: Blue Medicare HMO and Blue Medicare PPO PO Box 17509 Winston-Salem, NC 27116-7509 All Other Plans:Complete form G252 (Refund of Overpayment Form) and mail it with a check to:
Financial Processing Services When Overpayments Are IdentifiedBCBSNC will send the provider a request asking for a refund of the overpaid amount. The standard overpayment recovery lookback period is 18 months from the time the provider received the payment, with the exception of BCBSNC Self-Insured Plans and the State Health Plan. BCBSNC Self-Insured Plans may elect to use a different overpayment recovery time period than the standard 18 month overpayment recovery period. The overpayment recovery period for the State Health Plan is 24 months. No time limit applies to the initiation of overpayment recovery efforts required by a state or federal program or where there is suspected fraud or intentional misconduct involved. For questions related to overpayments, call us:
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