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June 14, 2021

myCGS: Respond to MR Post-Pay ADRs!

We are pleased to announce myCGS has been enhanced to allow you access to claims reviewed on a post-pay basis. And, you may respond to Post-Pay additional documentation/development requests (ADRs) directly through the portal!

To view, go to your MR Dashboard and select the Post Pay Review Cases sub-tab.


A list of claims reviewed on a post-pay basis will display. If any are pending because we sent an ADR letter asking for additional information, an "Submit Documents" button will be available in the "Actions" column. Clicking the button will allow you access to the ADR Response Form. You may attach documentation directly to the form and submit the requested information to us.

Also, like the Medical Review Claims sub-tab, depending upon the status of the post-pay review, you will be able to complete other functions including asking questions and requesting a Redetermination or a Part B Reopening. When one of these options is selected, that form will open and auto-populate with information specific to the provider, claim, and the patient.

Refer to the Medical Review section of the myCGS User Manual for additional information on the MR Dashboard and other myCGS functions.


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