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Check here for a status of EDI systems and a log of resolved EDI issues.

Claim Processing Issues LogClaims Processing Issues Log

Listed below are current system-related claims processing issues. Issues are shown by date reported with the most recently reported issue listed first. This log is updated frequently, as soon as information becomes available. CGS encourages you to review this log often and prior to contacting the Provider Contact Center. A list of resolved issues is also available at the end of this list. If you still have questions, please contact the Provider Contact Center or use one of our self-service tools.

Date Reported Description of Issue
12.04.2018 Reason code 30909 is incorrectly being applied to adjustment type of bills.
12.04.2018 Hospice claims are incorrectly rejecting with reason code C7080.
11.15.2018 Hospice claims are receiving reason code U5175 incorrectly.
10.24.2018 CGS has identified an ongoing issue with the two tier (high/low) payment rates for Routine Home Care services.
05.08.2018 Claims are being submitted with the new Medicare Beneficiary Identifier (MBI) and the Fiscal Intermediary Standard System (FISS) is attaching an invalid Health Insurance Claim Number (HICN) to the claim, causing the claim to go to the Return to Provider (RTP) file for various reasons.
11.01.2018 Hospice claims are receiving reason code U5172 incorrectly.
11.01.2018 Hospice claims are receiving reason code U5173 incorrectly.

 

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