Skip to Main Content

Print | Bookmark | Font Size: + |

EDI Status

Claims Processing Issues LogClaim Payment Alerts

Please reference this page for information about confirmed, system-related issues before you reach out to Customer Service. Click on the description to view details and check back often for updates that we post when they become available.

Closed issues remain on the active log for approximately 60 days before they move to the resolved issues archive list at the bottom of the page.

If you still have questions, please contact Customer Service or use one of our self-service tools.

Date Reported Description of Issue
11.07.2025 Reason Code U5233: The Common Working File (CWF) Host identified an issue that caused a subset of HMO beneficiary claims to deny (no open HMO enrollment) in error.
10.01.2025 Reason Code C7252: Claims for Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) visits at a Skilled Nursing Facility (SNF) rejected in error.
09.03.2025 Reason Code 39930: Rural Health Clinic (RHC) claims billed with Care Coordination Services received this edit in error.
08.11.2025 Reason Codes 31006 & 31007: Some Critical Access Hospital (CAH) Method II professional services rejected because the physician doesn't have a reassignment on file in PECOS.
07.29.2025 Reason Code W7113: Some claims returned to provider (RTP'd) in error

Updated: 11.14.2025

spacer

26 Century Blvd Ste ST610, Nashville, TN 37214-3685 © CGS Administrators, LLC. All Rights Reserved