Refund Offsetting

Policy Number: GP-X-095

Last Updated: Feb. 6, 2023 

Blue Cross and Blue Shield of Nebraska (BCBSNE) requires a refund offsetting process for in-network providers.  

Effective Oct. 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. For subrogation and/or workers' compensation, please use the updated reconsideration form. Do not send a check/payment. 

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 a Federal Employee Program (FEP) claim, offsetting will only occur on other FEP claims. We will not offset overpayments on FEP claims with claims that are non-FEP.