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June 17, 2015

July 2015 Release "Dark" Days for the Common Working File (CWF) Hosts

To accommodate the anticipated duration of the July 2015 release, and to ensure the completion of weekly/monthly/quarterly processing, the Common Working File (CWF) will have "dark" days occurring on Thursday, July 2, Friday (Holiday), July 3, and Saturday, July 4, 2015. During this time, claims will not be sent to CWF and access to ELGA and ELGH will not be available. The next cycle to CWF will occur during the night, Monday, July 6, 2015.

In addition, providers should be aware of the following:

  • Out of Service Area (OSA) responses will be dropped from June 29, 2015, through July 3, 2015. Claims processing delays will occur when a beneficiary's record is located outside of the Great Western (GW) CWF Host site. Affected claims will begin to recycle to locate the beneficiary's records on July 7, 2015; therefore, additional time may be required for claims to process and pay.
  • During the "dark days", July 2 - 4, 2014, ELGA and ELGH will not be available. While the CWF Dark Days will impact your access to ELGA and ELGH, it will not affect your ability to access beneficiary eligibility information through myCGS. In addition, the Interactive Voice Response (IVR) will be available.

We anticipate that claims will still be processed within the allowed timeframe. As a reminder, the Medicare Claims Processing Manual (Pub. 100-04, Ch. 1External PDF, § 80.2.1.1) states that Medicare contractors have 30 days to process clean claims. While the typical timeframe to process claims is less than this, contractors have the full 30 days from the receipt date of a clean claim to process it. Please note that home health Requests for Anticipated Payment (RAPs) and hospice Notice of Elections (NOEs) are not considered claims and thus, there is no specified timeframe for processing them. For additional information on the status of claims, refer to the "Checking Claim Status FAQs" on the CGS website.

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