Claim Payment Alerts
| Date Reported | Provider Type Impacted | Reason Codes | Claim Coding Impact | Description of the Issue | Action Required by the MAC | Action Required by the Provider | Proposed Resolution/Fix | Status | Date Resolved |
|---|---|---|---|---|---|---|---|---|---|
| 06/15/2026 | Suppliers who submit claims for HCPCS codes E0651, E0652, L1844, L1846, L1852, and L1932 that required Prior Authorization | 284 | E0651-E0652, L0651, L1844, L1846, L1852, and L1932 | Claims that were received between 04/13/2026 and 06/04/2026, with a date of service within the same range and an accompanying Prior Authorization submission, may have been processed inaccurately. | CGS will review and adjust claims that were processed in error. | No action required. | Claims processed in error will be adjusted. | In Progress | TBD |
| 02/01/2019 | Suppliers of HCPCS codes E1020, E1028, E2368, E2369, E2370, E2375, K0015 and K0070 | 96 | E1007, E1020, E1028, E2228, E2368, E2369, E2370, E2375, K0015 and K0070 | Claims for HCPCS codes E1020, E1028, E2228, E2368, E2369, E2370, E2375, K0015 and K0070 may have denied incorrectly due to a system processing issue. NOTE: This is an ongoing issue with no ETA for resolution. | The issue causing the claim processing error cannot be corrected at this time. | No action required. | A report will be run monthly and claims will be adjusted if the denial was incorrect. | NA | NA |
| 02/01/2019 | Suppliers of wheelchair accessories. | 151 | Wheelchair accessory HCPCS codes. | Claims for wheelchair accessories may have denied as same or similar equipment incorrectly due to a system processing issue. NOTE: This is an ongoing issue with no ETA for resolution. | The issue causing the claim processing error cannot be corrected at this time. | No action required. | A report is run monthly, and claims are adjusted if the accessories were denied incorrectly. | NA | NA |
Updated: 06.16.2026

