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Claim Denial Resolution Tool

This tool provides the myCGS message for the claim denial and lists possible causes and resolutions.

Enter the ANSI Reason Code from your Remittance Advice into the search field below.

ANSI Reason Code (Do Not Include the Group Code):

(Example: 16)

ANSI Remark Code (if multiple, include a comma and a space between each code): (Optional)

(Example: M81, M76)

Note: This tool is available for claim denial assistance with the common denials and may not address every scenario. You can view all Remittance Advice Remark Codes (RARCs)External Website referenced on your Remittance Advice hereExternal Website.

Disclaimer: CGS' online tools and calculators are informational and educational tools only, designed to assist suppliers and providers in submitting claims correctly. CGS makes no guarantee that this resource will result in Medicare reimbursement for services provided. Although we've made every reasonable effort to provide effective resources, CGS is not responsible for the consequences of any decisions or actions taken in reliance upon or as a result of the information that these tools provide. CGS is not responsible for any human or mechanical errors or omissions.


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