CHAMPUS (Civilian Health and Medical Program of the Uniformed Services) Has Improved its Methods for Procuring and Monitoring Fiscal Intermediary Services to Process Medical Claims

摘要

In October 1982, Blue Shield of California was awarded the Southeastern regional contract to process medical claims submitted by beneficiaries and health care providers under the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS). GAO and CHAMPUS reviews of this and other related procurements pointed out weaknesses in the process. When these matters were brought to CHAMPUS' attention, corrective actions were taken that should improve the procurement process. Therefore, GAO is not making recommendations in this report.