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

Claim Processing Issues LogClaim Payment Alerts

Please reference this page for information about confirmed, system-related issues before you reach out to Customer Service.

TIP: Click on a description to view more details. Check back for updates.

Date Reported Description

06.12.2026

Reason Codes U5565 & U5566: Admission date doesn't match the election period start date. Claims after a hospice transfer returned to provider (original claims) or rejected (claim adjustments) in error.

04.27.2026

The 2% sequestration reduction applied twice on processed claims beginning in mid-April.

07.29.2025

Reason Code W7113: Some home health claims returned to provider (RTP'd) in error.

07.10.2025

Reason Code 70AD1: CGS recently detected a significant number of incorrectly billed hospice claims. Claims have been submitted for continuous care using the admission date as the “From” date of service on the claim, instead of the beneficiary's start of care date.

08.01.2023

Reason Code 19963: Some home health claims returned to provider (RTP'd) in error because the corresponding NOA is offline.

Updated: 07.07.2026
Reviewed: 07.07.2026

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