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CPILClaim Payment Alerts

Please reference this page for information about confirmed, system-related issues before you reach out to Customer Service.

TIP: Click on a description to view more details. Check back for updates.

Date Reported Description
04.24.2026 CGS has identified all E/M claims that were denied in error due to the system issues which began March 27, 2026, and has completed all remediation activities associated with the incorrect denial of E/M claims.
03.10.2026 Quality Payment Program: Claim Adjustments to Correct Conversion FactorExternal Website – Starting in CY 2026, the update to the qualifying alternative payment model (APM) conversion factor is +0.75%, while the update to the nonqualifying APM conversion factor is +0.25%.
12.10.2025 Certain clinical laboratory test claims with dates of service on October 1 – December 1, 2025, denied in error.
11.21.2025 Claims for COVID and other vaccines provided on the same day denied in error.
11.07.2025 The Common Working File (CWF) Host identified an issue that caused a subset of HMO beneficiary claims to deny (no open HMO enrollment) in error.

Updated: 06.30.2026
Reviewed: 06.30.2026

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