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A Claims Cycle is a weekly financial processing event in which NYS Medicaid claims are paid and remittance notifications are prepared. Each cycle receives a unique sequential cycle number. In order to be certain that your electronic claim submissions are included in the current week’s cycle, please send them to Computer Sciences Corporation (CSC) before 6:00 PM on Monday. CSC will continue processing claims received after 6:00 PM on Monday to get as many as possible into the current cycle. However, there is no guarantee after the Monday cut off. Claims that don’t make it will be included in the next weekly cycle. CSC returns a 997 (Functional Acknowledgment) Response file for all electronic claim submissions. Submitters will know the cycle in which the claims are processed by interrogating the 997 Response. The file name includes a date and time stamp. If the Response indicates the claims were accepted, the submitter can check the Cycle Processing Calendar for the corresponding cycle information.
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