Skip to Main Content

Print | Bookmark | Email | Font Size: + |

09/28/2011

Clerical Error Reopening Request Form

The Clerical Error Reopening Request Form was developed for providers to complete when submitting a Reopening Request. The Clerical Error Reopening Request Form should be printed, completed in its entirety, and mailed to CGS along with an adjustment claim. To view or download this form, select the PDF file below.

spacer

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