Refund Offsetting

General
Policy Number: GP-X-095

Last Updated: June 20, 2022 

BCBSNE requires a refund offsetting process for in-network providers.  

Effective October 1, 2022, when a claim overpayment occurs, the provider will be offset immediately on the same payment cycle. If the offset is greater than the current payment in the payment cycle, continued offsets will occur until the overpayment is satisfied.  

If an overpayment is identified by the provider, please follow the claims adjustment process.  

Direct all questions concerning refunds and offsetting to our Refunds Department at 800-562-3381.  

Note: If the offset is due to an overpayment of an FEP claim, offsetting will only occur on other FEP claims. We will not offset over payments on FEP claims with claims that are non-FEP.