BILLING NEWS

Claims Processing Issue Affecting Units Field

CGS detected an issue in one of their claims processing translators impacting the number of units paid on Part B claims. This issue impacted claims submitted from January 2 – 5, 2017. 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 completed within 7-14 business days. The above resolution does not apply to remits that have no payment amount listed. For finalized remits with no payment amount you will need to submit the following: create a spreadsheet identifying the claim Internal Control Number (ICN), date of service, and the total listed in the units field and send the spreadsheet via email to  CGS.EDI@cgsadmin.com  Subject Line of: No Pay Unit Error.


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INDUSTRY NEWS TAGS: Cigna Government Services, MAC J15 Kentucky, MAC J15 Ohio


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