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CGS Administrators, LLC

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March 8, 2019

myCGS Version 5.3 with ADR Viewing and Response Submission—Now Available!

Version 5.3 of myCGS is now available! Version 5.3 includes one of the most highly requested features that our users have been wanting… the ability to view Additional Documentation Request (ADR) letters—for instance, letters related to Targeted Probe and Educate (TPE) Review—and submit ADR responses!

The new ADR screen, which is accessed via the Claims menu, gives you the ability to:

Note that all existing End Users and Designated Approvers (DAs) will have access to the new ADR screen as long as they currently have access to the Claims menu in myCGS. CHBA user access will depend upon the access granted by the associated supplier on the CEDI Supplier Authorization Form.

The following is an image of the new ADR Select screen:

Screen Shot

In addition to the new ADR screen, the following updates have been made in myCGS version 5.3:

Below is a brief summary on how to submit ADR response in myCGS. You can submit ADR responses through either the Claim Status screen or the ADR screen in myCGS. Complete ADR instructions are now available in the myCGS User ManualPDF.

From the ADR Screen

Follow these steps to submit a response to an ADR letter using the ADR screen in myCGS:

  1. Go to the ADR screen and perform a search for open cases based on the date of your ADR letter (you can search up to a three month date span).
  2. From the ADR Summary screen, press the Respond link listed in the Status column for the CCN in question.

    NOTE: If you want to view details of the ADR before submitting your response, you can click on the CCN link of the ADR from the ADR Summary screen. This will open the ADR Detail screen. You can then submit your response from the ADR Detail screen by pressing the Respond button.
  3. A popup window will ask if you want to submit documentation. Select Yes.
  4. The ADR submission window will be displayed. Press the Upload button to select your files. Navigate to where your files are stored and select all of your desired documentation. Once you have made all of your file selections, press the Submit button.
  5. A popup window will ask if you have uploaded all of your documents. If you have selected all of your desired files, select Yes to submit your request. If you forgot to include a file, select No and upload the rest of your files.
  6. myCGS will then ingest all your documentation into our internal processing system. Once the upload has completed, you will receive a message stating that the files were successfully submitted. Note that it may take up to 30 days for your request to be processed by CGS.

From the Claim Status Screen

If you know the specifics of the claim in question, you can submit an ADR response from the Claim Status screen. Follow these steps:

  1. Go to the Claim Status screen and perform a search for the claim in question.
  2. On the Claim Status Summary screen, press the ADR button. The ADR Detail screen will be displayed (if an ADR has been sent).
  3. On the ADR Detail screen, select the Respond button (note that the Respond button will only be present if the claim is still open).
  4. A popup window will ask if you want to submit documentation. Select Yes.
  5. The ADR submission window will be displayed. Press the Upload button to select your files. Navigate to where your files are stored and select all of your desired documentation. Once you have made all of your file selections, press the Submit button.
  6. A popup window will ask if you have uploaded all of your documents. If you have selected all of your desired files, select Yes to submit your request. If you forgot to include a file, select No and upload the rest of your files.
  7. myCGS will then ingest all your documentation into our internal processing system. Once the upload has completed, you will receive a message stating that the files were successfully submitted. Note that it may take up to 30 days for your request to be processed by CGS.

Be sure to stay tuned to our ListServ and News page for the latest information about v5.3 and other myCGS news!

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