Correcting the Billing Provider’s Information on Claims

CMS addressed claims reprocessing requirements for claims that were affected by the 2010 Medicare Physician Fee Schedule (MPFS) update. These adjustments were required as a result of the Patient Protection and Affordable Care Act (ACA), which retroactively adjusted some Medicare payments dating back to date of service January 1, 2010. As part of this adjustment action, CGS has identified internal system edits regarding corrections of claims specifically tied to the billing provider’s NPI number. In order to change the billing provider’s NPI number on a claim you have already submitted, for any reason, submit an overpayment adjustment request using the Overpayment Refund Form. After the overpayment/refund is processed, the claim will be adjusted to change the NPI and you will receive a payment with the corrected information.

CIGNA Government Services, MAC for Idaho, Kentucky and Ohio