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April 14, 2015 - Updated 03.30.18

myCGS MR ADR Job Aid

myCGS, our free web portal, has been enhanced to allow providers to respond to medical review (MR) additional documentation requests (ADRs). ADRs are generated in FISS when medical records and other relevant information are needed to correctly adjudicate a claim. Providers have 45 days to submit documentation in response to an ADR.

This enhancement is being implemented as a convenience to you and to help facilitate an accurate and timely response.

To respond to an MR ADR via myCGS:

After logging on to the myCGS web portal, select the FORMS tab. From the "Go To Page" drop-down box, select MR ADR.

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The MR ADR landing page will display. Click on the link to the form, which is located at the bottom of the page.

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Once the page loads, you will find some fields are pre-populated based on your myCGS user ID. The required fields that must be completed to submit the MR ADR Response form are identified by a RED asterisk (*).

  • Patient Medicare ID Number
  • Document Control Number (DCN) – the DCN is located on FISS Page 07 of the ADRd claim
  • At least one attachment that satisfies the ADR to completely process the claim (i.e., medical records and/or other relevant documentation)
  • The name of the person authorized to respond to the ADR

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Complete the top portion of the form, then click VALIDATE. Doing this ensures the information needed to identify the ADR is entered. If all information is entered correctly, a confirmation message will display at the top of the form.

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Once the form is validated, select the BROWSE button to attach your medical documentation to the MR ADR Response form. NOTE: At least ONE attachment must be submitted. Attachments must be in a PDF format and no more than 5MB in size.

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After attaching the documentation, enter the name of the person authorized to respond to ADRs and click SUBMIT.

Once submitted, the eSignature box will display. Clicking OK is your confirmation that all information is correct and allows you to electronically sign the form.

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After submitting the form, myCGS will default to the MESSAGES tab. You will receive a secure message confirming receipt of the form. A second message will be received confirming the form was accepted.

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For more information about this and other myCGS forms, including requests for Redetermination and eOffsets, please refer to the myCGS User ManualPDF.

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