Update Regarding State Health Plan Duplicate Claim Payments

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) recently advised you that duplicate payments were issued in error for some North Carolina State Health Plan for Teachers and State Employees (SHP) members' claims paid on November 8, 2015.  The issue caused all payments, whether electronic funds transfers or paper checks, to be doubled for these claims.  All monetary amounts on the Explanation of Payments and 835 Electronic Remittance Advices were also doubled, including both provider payment and member liability amounts.

This issue that caused these duplicate payments has been resolved. We will begin mailing reports to the impacted health care organizations and providers soon, which will provide detail including member/patient identifying information, patient account numbers, dates of service, total charge amounts, member responsibility amounts, and overpayment amounts. If your practice was impacted by this duplicate payment issue, please wait until you received the report from us before refunding any duplicate payments to Blue Cross NC.

An envelope and invoice will be enclosed with the report, and we ask that you return the coded portion of the invoice with your payment so that we’ll be able to track and apply your refund amount faster. You also have the option to choose to have voucher deductions taken as repayment. Blue Cross NC will begin voucher deductions after 45 days from the date of the invoice, if you select this repayment method.

We apologize for any inconvenience or confusion you or your billing staff may have experienced as a result of this issue. We regret Blue Cross NC is unable to produce new 835 Electronic Remittance Advices to replace the erroneous versions you received. If you have questions, please call the Blue Cross NC Provider Services Unit at 1-800-777-1643.