State Audits by Agency or Authority
You can bulk download agency audits issued between 2009 to present.
New York State Health Insurance Program
Incorrect Payments by CVS Caremark for Medicare Rx Drug Claims That Were Improperly Paid Under the Commercial Plan (Follow-up)
Issued: 06/18/25
UnitedHealthcare Insurance Company of New York – Overpayments for Physician-Administered Drugs (Follow-Up)
Issued: 05/21/25
CVS Caremark – Accuracy of Empire Plan Commercial Rebate Revenue Remitted to the Department of Civil Service
Issued: 03/18/25
Anthem Blue Cross – Coordination of Benefits With Medicare
Issued: 08/19/24
Empire BlueCross – Overpayments for Physician-Administered Drugs
Issued: 09/27/23
UnitedHealthcare Insurance Company of New York – Overpayments for Physician-Administered Drugs
Issued: 09/13/23
UnitedHealthcare Insurance Company of New York: Improper Payments for Acupuncture and Acupuncture-Related Services (Follow-Up)
Issued: 07/20/23
CVS Health – Accuracy of Empire Plan Medicare Rx Drug Rebate Revenue Remitted to the Department of Civil Service
Issued: 06/21/23
CVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service (Follow-Up)
Issued: 11/16/21
UnitedHealthcare: Improper Payments for Acupuncture and Acupuncture-Related Services
Issued: 10/27/21
CVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service (Follow-Up)
Issued: 02/08/21
CVS Health - Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service (Follow-Up)
Issued: 12/29/20
CVS Health – Temporary Holding Account Rebate Revenue (Follow-Up)
Issued: 10/15/20
CVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service
Issued: 08/21/20
An Analysis of Reasonable and Customary Out-of-Network Reimbursement Rates for Medical/Surgical Services in the New York State Health Insurance Program
Issued: 04/01/20
UnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services (Follow-Up)
Issued: 01/03/20
Empire BlueCross – Improper Payments for Intraocular Lens Claims Billed by Hospitals
Issued: 12/20/19
Empire BlueCross – Improper Payments for Special Items Billed by Hospitals Within Long Island Health Network
Issued: 11/29/19
UnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers (Follow-Up)
Issued: 11/18/19
CVS Health – Temporary Holding Account Rebate Revenue
Issued: 10/17/19
CVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service
Issued: 06/06/19
CVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service
Issued: 01/28/19
UnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services
Issued: 12/31/18
UnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers
Issued: 08/13/18
Preventing Inappropriate and Excessive Costs in the New York State Health Insurance Program
Issued: 05/09/18
UnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59 (Follow-Up)
Issued: 12/27/17
United HealthCare Insurance Company of New York – Empire Plan Drug Rebates (Follow-Up)
Issued: 05/24/17
United HealthCare – Empire Plan Drug Rebate Revenue (Follow-Up)
Issued: 05/15/17
United HealthCare – Overpayments for Services Provided by Long Island Bone and Joint, LLP
Issued: 03/01/17
United HealthCare – Empire Plan Drug Rebate Revenue
Issued: 11/01/16
United HealthCare – Overpayments for Services Provided by Hudson Valley Bone and Joint Surgeons, LLP
Issued: 09/08/16
United HealthCare – Overpayments for Services Provided by Eastern Orange Ambulatory Surgery Center
Issued: 05/05/16
United HealthCare – Overpayments for Services Provided by Long Island Laparoscopic Surgery
Issued: 05/05/16
United HealthCare – Overpayments for Services Provided by Long Island Spine Specialists
Issued: 05/05/16
United HealthCare – Overpayments for Services Provided by Orthopedic Associates of Long Island
Issued: 05/05/16
United HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
Issued: 02/18/16
Empire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012 (Follow-Up)
Issued: 12/28/15
Empire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
Issued: 12/28/15
United HealthCare – Empire Plan Drug Rebates
Issued: 12/28/15
United Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
Issued: 12/03/15
UnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
Issued: 01/08/15
Empire BlueCross BlueShield – Selected Payments for Special Items for the Period April 1, 2011 Through June 30, 2011 (Follow-Up)
Issued: 10/30/14
Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Empire BlueCross and BlueShield)
Issued: 01/16/14