Suspected Overpayments from BCBSNC

Recently the North Carolina Medical Society (NCMS) learned that Blue Cross Blue Shield of North Carolina (BCBSNC) has been overpaying claims for bilateral procedures. Some providers have reported receiving double the expected amount. We believe the problem is limited to individual and small group plans.

The issue seems to have started over a year ago. Any practice billing for bilateral procedures may be affected by this error. According to BCBSNC, the problem was first addressed in March 2017 with a recent fix put in place on July 27, 2017.

NCMS is still working to understand the scope of the problem. In the meantime, we encourage you to review your BCBSNC claim payments for bilateral procedures. We will keep you posted on any developments.

 
 

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