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EDI Status

CPILClaims Processing Issues Log

Listed below are current system-related claims processing issues. Issues are shown by date reported with the most recently reported issue listed first. This log is updated frequently, as soon as information becomes available. CGS encourages you to review this log often and prior to contacting the Provider Contact Center. A list of resolved issues is also available at the end of this list. If you still have questions, please contact the Provider Contact Center or use one of our self-service tools.

Date Reported Description of Issue
10.07.2024 Provider remits displayed an incorrect Patient Responsibility Amount. The affected Claims are Non-Assigned claims only, for Kentucky and Ohio remits.
07.25.2024 Claims have denied for CLIA in error. This caused many lab codes to hit a Common Working File (CWF) Error.
04.03.2024 Claims received with codes CPT 93297 and 93298 with a 26 modifier have been rejected.
01.16.2024 Claims received for both states KY and OH for CPT codes 72050, 72080, 72100, 72114, 72190, 72200 and 73030 that were denied in error when billed by provider type 38 (NP- Nurse Practitioner or CNS - Clinical Nurse Specialist)

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