Beneficiary Entitlement Date Errors Causing Incorrect Part A and Part B Claim Denials

Date Reported: 10/9/2019
Status: Open
Provider Type(s) Impacted: Part A, Part B, HH+H
Reason Code(s): N/A
Claim Coding Impact: N/A

Description of Issue

National Government Services (NGS), along with all Medicare Administrative Contractors (MACs), is experiencing an issue with the Medicare eligibility contractor, resulting in incorrect claim denials. NGS is informing providers of this claims processing error involving invalid entitlement dates for all beneficiary entitlement periods. This is causing claims to incorrectly deny based on invalid beneficiary entitlement.

National Government Services Action

NGS is actively pursuing a solution to this issue which will be shared with providers as soon as possible.

Provider Action

Please continue to check the Production Alerts section of our website [NGSMedicare.com] and Email Updates for additional status information.

Proposed Resolution/Fix Date

TBD