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  • Provider Enrollment Interactive Help Tool
  • Provider Enrollment Interactive Help Tool
  • myCGS

Claims Processing Issue Affecting Units Field

WHO: All Part B providers who submitted claims to CGS.
WHAT: CGS detecting an issue in one of our claims processing translators impacting the number of units paid on claims.
WHEN: This issue impacted claims submitted from January 2 - 5, 2017.
RESOLUTION: To expedite proper payment, providers impacted should call the Part B Provider Contact Center (PCC) at 866.276.9558 (option 1).  Please provide the date of the remittance advice (RA) and corresponding check number.  (Only claims that have completed processing and identify a payment amount can be adjusted.)  Adjustments will be complete within 7-14 business days.

Update:  The above resolution does not apply to remits that have no payment amount listed.

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What can myCGS do for you?

myCGS is an online portal that provides instant information and allows you to submit secure forms and transactions, including:

  • Beneficiary Eligibility information
  • Claim Submission
  • Checking Claims Status
  • e-Offset
  • View and print Remittance Advices
  • Financial Information
  • Respond to Medical Review (MR) Additional Documentation Requests (ADRs)
  • Submit and check the status of Redetermination Requests
  • Submit and check the status of Reopening Requests
  • Submit General Inquiries related to a number of topics - NEW!
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Critical Update

Action Needed: Due to increased CMS security requirements, myCGS portal users must sign up for Multi-Factor Authentication (MFA) by July 1, 2017.

Deadline to sign up:

  • Providers have until June 30, 2017, to sign up for MFA for each active user ID voluntarily.
  • May 1, 2017 to June 30, 2017, providers are required to sign up for MFA at enrollment, password reset and recertification.
  • Effective July 1, 2017, if you have not yet signed up for MFA, your account will automatically be set to MFA with the email address associated with the user ID.

Read more link to information below


Cycle 2 Provider Enrollment Revalidations

The Centers for Medicare & Medicaid Services (CMS) has completed its initial round of revalidations and has begun Cycle 2. Find your revalidation due date by accessing the Medicare Revalidation Lookup ToolExternal Website. Due dates are updated every 60 days at the beginning of the month. For more information, refer to the Medicare Provider-Supplier Enrollment RevalidationsExternal Website Web page on the CMS website and MLN Matters® article, SE1605External PDF. Remember, the fastest and most efficient way to submit your enrollment revalidation information is by using the Internet-based PECOSExternal Website.

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