Print |
Bookmark |
Email |
Font Size:
+ |
–
Claims 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 |
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) |
Status |
Provider Type Impacted |
Reason Codes |
Claim Coding Impact |
Date Resolved |
Open |
Part B Type 38 (NPs and CNS) Providers |
N/A |
CPT codes 72050, 72080, 72100, 72114, 72190, 72200 and 73030 billed by type 38 providers |
|
Updates |
|
MAC Action |
CGS will perform a mass adjustment to correct claims that denied. |
Provider Action |
No action is required. |
Proposed Resolution |
CGS will perform a mass adjustment to correct claims that denied. |
|