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Review of High-Dollar Payments for Maryland Medicare Part B Claims Processed by TrailBlazer Health Enterprises for the Period January 1, 2003 Through December 31, 2005

August 20, 2008 | Audit A-03-08-00025

Executive Summary

In report number A-03-07-00017, we requested that TrailBlazer Health Enterprises (TrailBlazer) recover outstanding $115,000 in overpayments from a total of $145,000. TrailBlazer recovered $98,500 but was unable to recover the remaining $17,500 in overpayments because the Medicare Part B carrier for Maryland had transferred to Highmark Medicare Services (Highmark). We provided a copy of report number A-03-07-00017 to Highmark for final resolution of the two outstanding overpayments totaling $17,500 as report number A-03-08-00025.

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