DME MAC Jurisdiction C Claims Information
Claims - NEW!
What To Do When a Claim Denies
Ever wonder what to do when a claim denies? CIGNA Government Services suspects that you are not alone if you answered “yes”. As a result, CIGNA Government Services has created the following guide to help you determine what your next steps should be when a claim denies. For example, did you know that you can resubmit a claim that denies CO173 or CO176? Frequently a CO173 and CO176 denials are the result of a missing CMN. Instead of sending to Reopenings or Redeterminations, you can just resubmit the claim with the CMN information. By resubmitting the claim, you are utilizing the fastest processing option. You are encouraged to utilize the following guide the next time a claim denies. The guide does not cover all scenarios, but rather the most common. CIGNA Government Services will be adding additional information to this guide from time to time. As a result, we encourage you to visit our Web site www.cignagovernmentservices.com to ensure that you are utilizing the most current information.
Electronic Data Interchange (EDI)
Beginning June 6, 2008 , all support services for DME MAC EDI transactions will be provided by the Common EDI (CEDI) contractor. For information regarding submission, receipt or reporting of all ANSI X12N 837P, 835 and 276/277 transaction processing, please contact CEDI.
