Contractor warns of delays with paper claims

Tuesday, January 14, 2014

INDIANAPOLIS – National Government Services (NGS), the DME MAC for Jurisdiction B, is experiencing delays updating the optical character recognition system it implemented to process CMS-1500 paper claims. Effective April 1, all paper claims must be submitted in that format; any files using the older format will be returned as unprocessable. Because of the delays, NGS is manually verifying paper claims data and has increased the inventory of paper claims awaiting validation, according to a recent bulletin. “Until these paper claims are entered, we cannot fully respond to claim status related questions,” the bulletin states. “The claims may have been received and are awaiting claim detail entry into the Multi Carrier System. An extensive effort is underway to expedite processing for these outstanding paper claims.” The problem only affects paper claims; most electronically submitted claims and claims submitted using free features on the NGSConnex portal are being processed on time, according to the bulletin.