Here is a list of current system-related claims payment and processing issues. These issues have been reported to the Centers for Medicare & Medicaid Services (CMS) and/or the Multi-Carrier System (MCS). Please check often for updates before contacting the provider contact center. The issues are identified by stand alone articles and will be updated as needed.

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Latest Articles


RESOLVED - Incorrect Entitlement Information 10/11/2019
Claims Denying in Error for Covered Diagnosis Codes 09/26/2019
RESOLVED: Claims for Nonparticipating Providers Processed from April 1, 2017, through February 28, 2019, Paid at the Incorrect Rate 09/19/2019
RESOLVED: Provider Enrollment Alert - Issues resulting from recent Provider Enrollment, Chain and Ownership System (PECOS) Release 09/18/2019
RESOLVED: Merit Based Incentive Payment (MIPs) Payment File Adjustments 09/11/2019
RESOLVED: Medicare Secondary Payer Claims Submitted on the CMS-1500 Part B Paper Claim Form 07/09/2019
RESOLVED: MIPS: Error in 2019 Payment Adjustment 05/17/2019
RESOLVED: Physician Assistant Services 04/08/2019
RESOLVED: Claim Denials Based on Provider Specialty 04/04/2019
RESOLVED: Modifiers Rejecting on 2019 New Mental Health Procedure Codes 03/29/2019
RESOLVED: Independent Diagnostic Testing Facility 03/20/2019
RESOLVED: Local Coverage Determination L35072, MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing Denials 03/19/2019
Resolved: Reference Lab and Anti-Markup Payment Limitation Services 03/13/2019
RESOLVED: Rituximab Denials Local Coverage Determination L35026 03/11/2019
Resolved - Skilled Nursing Facility Consolidated Billing Denials 02/13/2019
RESOLVED: Claims Paid After a Provider Has Been Deactivated 12/14/2018
RESOLVED: High Volume of Pending Claims Requiring Medical Review 12/06/2018
RESOLVED: Adjustments to Qualified Medicare Beneficiary (QMB) Claims Processed Under CR 9911 11/27/2018
RESOLVED: Bipartisan Budget Act of 2018 11/19/2018
RESOLVED: Incorrect Denials Indicating Skilled Nursing Facility (SNF) Consolidated Billing (Includes Ambulance Services) 09/14/2018

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