Refund Offsetting

Blue Cross^® and Blue Shield^® of Nebraska (BCBSNE) requires a refund offsetting process for all medical claims. 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. Do not send a check or payment, as this will result in a refund after the claim is adjusted. 

In-network providers: Submit a reconsideration request via NaviNet^®. 
Out-of-network providers: Submit via NaviNet or find the reconsideration form at Provider Forms. 

If you have questions related to the offsetting of a claim, log into NaviNet to review the claim and/or conduct a claims investigation.   

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. 

_{NaviNet^® is a healthcare provider portal providing services for Blue Cross and Blue Shield of Nebraska.}