Federal Employee Program (FEP) Implementation for Payment Integrity Program

Blue Cross Blue Shield of North Dakota (BCBSND) is notifying providers we will begin reviewing Federal Employee Program (FEP) claims under the Payment Integrity Program. Effective Monday, Jan. 1, 2024, Cotiviti will start reviewing claims for Clinical Coding Validation and Retrospective Claims Accuracy concepts. FEP will be reviewed under the same concepts as BCBSND Commercial claims.

Visit the Payment Integrity webpage for more information on these respective programs.