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December 6, 2018

Do Not Suppress the View of CGS Initiated Claim Adjustments

Occasionally CGS will initiate adjustments to your claims for various reasons. These adjustments are identified with an "I" or "G" as the third digit of the type of bill (e.g., XXI or XXG). Please be aware that if you see adjustments in your Return to Provider (RTP) file (status/location T B9997), do not suppress the view of these adjustments. You need to make the necessary correction based on the reason code and F9 the adjustment to allow continued processing. If you suppress the view, the claim will not be processed and payment will be delayed. Please share this information with your appropriate staff.

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