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COVID-19: Resuming provider audits and claim reviews
July 14, 2020
This article is for all providers caring for our members
On April 8, 2020, we notified you that we were pausing the following activities for 60 days or until the end of the public health emergency, whichever came first. Effective immediately we will resume these activities:
- Retrospective provider audits for:
- Professional providers
- Inpatient and outpatient facilities
- Prepayment reviews for forensic claims
- Any other claim recovery activities
Questions?
Call Network Management and Credentialing Services at 1-800-316-BLUE (2583).
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