Skip Navigation
United States Flag

An official website of the United States government. Here's how you know >

A New Look for HHS-OIG. Learn More >>

Change Font Size

Audit (A-04-08-00043)

Review of High-Dollar Part B Claims Processed by CIGNA Government Services Carrier No. 05535 for the Period January 1, 2004, Through December 31, 2006

Executive Summary

During calendar years (CY) 2004-2006, CIGNA Government Services Carrier No. 05535 (the contractor) overpaid providers in North Carolina $156,000. Generally, the contractor made the overpayments because the providers incorrectly billed excessive units of service. In addition, the Medicare claim processing systems did not have sufficient edits in place during CYs 2004-2006 to detect and prevent payments for these types of erroneous claims. We recommended that the contractor recover the identified overpayments. In written comments on the draft report, CIGNA Government Services stated that it had adjusted these 17 claims and was pursuing the associated overpayments.

Complete Report

Download the complete report (PDF)

Adobe® Acrobat® is required to read PDF files.

Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.

Office of Inspector General, U.S. Department of Health and Human Services | 330 Independence Avenue, SW, Washington, DC 20201