Every year analysts and investigators for Blue Cross and Blue Shield of Montana (BCBSMT) review claims data, industry trends and investigative results. We do this to identify potential areas of fraud and waste.
Please watch for a letter being sent to outliers identified by BCBSMT. It will provide you information on trends and examples of potential billing abuse around COVID-19 testing and vaccinations. One of the best ways to avoid inadvertent billing errors is to see examples of intentional billing irregularities.
The letters will encourage you to comply with BCBSMT’s policies and requirements.
More Information: Refer to the Provider Standards and Requirements on our website for additional information on policies.
If you encounter potential fraud, waste and/or abuse, please file a report online or call our Fraud Hotline at 800-543-0867. All online reports and calls are confidential and you may remain anonymous. For more information, visit our Fraud and Abuse page.