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Aetna faced Beneficiaries and Providers Better Address carriers to include change in Georgia Changes Burden Beneficiaries claim backlogs Claims processing slowed claims-processing disruptions claims-processing system COMPARE Contractor Changes Burden Contractors Poses Program Cost the Program data files Data-Processing Subcontractor Changes days to process Department of Health Develop During Transitions direct the Administrator error rates Evaluation Florida Blue Shield Florida carriers future transitions Georgia and Florida Georgia carrier change GTE Data Services HCFA Can Better hcfa staff Health and Human Human Services direct Illinois incoming carrier instructions to carriers Insurance medical review policies Medicare Contractor Changes Medicare program months of 1988 North Carolina number of days outgoing carrier's system overpayment errors physicians Poses Program Risks Problems That Develop process claims processing in Georgia processing subcontractor change Program Millions Providers and Cost Prudential Prudential's recommend Replacing Contractors Poses resulted rier Secretary of Health specialty subcon subcontractor's system substandard workload