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Name of Manual - Blue Cross and Blue Shield of Minnesota

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Federal Employee Program<br />

Federal Employee<br />

Program (FEP)<br />

Health Care Options<br />

The Federal Employee Program (FEP), one <strong>of</strong> the health benefit<br />

plans available to federal government employees <strong>and</strong> their<br />

dependents, is administered by <strong>Blue</strong> <strong>Cross</strong> <strong>and</strong> <strong>Blue</strong> <strong>Shield</strong> plans<br />

throughout the country. Enrollment, eligibility, <strong>and</strong> claims records<br />

for all FEP members are maintained in Washington, D.C. We have<br />

access to the records through a national telecommunications<br />

system.<br />

The unique federal ID number, which always begins with an “R”<br />

<strong>and</strong> is followed by eight digits, identifies FEP members.<br />

Federal employees may choose Basic Option or St<strong>and</strong>ard Option<br />

<strong>Blue</strong> <strong>Cross</strong> <strong>and</strong> <strong>Blue</strong> <strong>Shield</strong> coverage. Providers should file all<br />

claims for FEP benefits within the local plan, (i.e., <strong>Minnesota</strong><br />

providers submit to <strong>Blue</strong> <strong>Cross</strong> <strong>and</strong> North Dakota providers submit<br />

to <strong>Blue</strong> <strong>Cross</strong> <strong>and</strong> <strong>Blue</strong> <strong>Shield</strong> <strong>of</strong> North Dakota). All claims must<br />

be submitted no later than December 31 <strong>of</strong> the calendar year after<br />

the one in which the covered care or service was provided, unless<br />

timely filing was prevented by administrative operations <strong>of</strong><br />

government or legal incapacity, provided the claim was submitted<br />

as soon as reasonably possible. Once benefits have been paid, there<br />

is a three-year limitation on the reissuance <strong>of</strong> uncashed checks.<br />

Providers can call a new automated voice response unit (VRU) to<br />

check eligibility <strong>and</strong> benefits for FEP members. To access this<br />

service, call (651) 662-5044 or 1-800-859-2128. Claim status is<br />

currently not available through the VRU.<br />

Provider Statements Your Statement <strong>of</strong> Provider Claims Paid <strong>and</strong> Statement <strong>of</strong><br />

Institutional Claims Paid for FEP members will be posted on a<br />

separate remit. You will also receive a separate check titled<br />

“Federal Employee Program” with the <strong>Blue</strong> <strong>Cross</strong> logo for your<br />

FEP members. Recoupments <strong>and</strong> credit claim activities for FEP<br />

members will be reflected on a separate Accounts Receivable<br />

Recoupment Report which will be titled “Federal Employee<br />

Program.”<br />

Benefit Changes Visit www.fepblue.org for current benefit information.<br />

<strong>Blue</strong> <strong>Cross</strong> <strong>and</strong> <strong>Blue</strong> <strong>Shield</strong> <strong>of</strong> <strong>Minnesota</strong> Provider Policy <strong>and</strong> Procedure <strong>Manual</strong> (12/27/10) 5-23

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