June 2017

Reminder: Medicare Advantage Plans Overpayment Recovery

Applies to: Blue Cross Medicare Advantage (PPO)^SM and Blue Cross Medicare Advantage (HMO)^SM

As a reminder, a new process was implemented for overpayment recovery on claims processed after Jan. 1, 2017, for Blue Cross Medicare Advantage PPO and Blue Cross Medicare Advantage HMO. The process includes:

The Electronic Refund Management and Claim Inquiry Resolution tools on Availity^TM are no longer available for government program claims.
Request for refund letters will be sent by mail for all providers.
Please review your refund letter closely and remit your refund to the address indicated on the letter.
If you identify an overpayment and wish to send a voluntary refund, please use the following grid to determine the appropriate address:

Original Claim Check Date	Send to Address
Check Date prior to 1/1/17	Blue Cross and Blue Shield of Texas P.O. Box 731431 Dallas, TX 75373-1431
Check Date 1/1/17 or after	Blue Cross and Blue Shield of Illinois Claims Overpayment 29068 Network Place Chicago, IL 60673-1290

If you are unsure about the original payment date, please send payments to:

Blue Cross and Blue Shield of Texas
P.O. Box 731431
Dallas, TX 75373-1431

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