Skip to Main Content

Print | Bookmark | Email | Font Size: + | –

Home Health & Hospice Customer Service Phone / Fax

Providers are required to use self-service technology, such as the Interactive Voice Response (IVR) system or the myCGS web portal to access claim status and beneficiary eligibility information. Customer Service Representatives (CSRs) will refer providers to these resources when calling for claims status or eligibility information. Exceptions will be made if you experience technical difficulties.

Before calling to speak with a Customer Service Representative (CSR) in the Provider Contact Center (PCC), refer to the How Do I…? web page.

Customer Service

Phone: 1.877.299.4500

  • Option 1: Provider Contact Center (PCC) Questions (specific claim inquiries)
  • Option 2: Electronic Data Interchange (EDI)
  • Option 3: Provider Enrollment (PE)
  • Option 4: Overpayment Recovery (OPR)
  • Option 9: General Inquiries

8:00 a.m. – 4:30 p.m. (CT)
Fax: 1.615.660.5063

Before you call, make sure you have:

  • Your National Provider Identifier (NPI);
  • Your Provider Transaction Access Number (PTAN);
  • The last 5 digits of the Provider Tax Identification Number (TIN); and
  • Beneficiaries Medicare ID number, first name, last name, date of birth.

Telecommunications Devices for the Deaf

Dial 711.

Before you call, make sure you have:

  • Your National Provider Identifier (NPI);
  • Your Provider Transaction Access Number (PTAN);
  • The last 5 digits of the provider Tax Identification Number (TIN); and
  • Beneficiary's Medicare ID number, first name, last name and date of birth.

Congressional Inquiries

Fax: 1.615.664.5989

Congressional Office inquiries can be faxed to:

Congressional Liaison, J15 MAC Home Health and Hospice Region B

Back to the top of the page Top

Other Phone / Fax

Cost Reports

Phone: 1.615.660.5670

Other Options:

  

Electronic Data Interchange (EDI)

EDI Fax: 1.615.664.5947

Other Options:

Fax for EDI applications and forms (preferred method)

Medical Review Additional Development Requests (ADRs)

Fax: 1.615.660.5981

Other Options:

  

Credit Balance Reports

Fax: 1.615.664.5987

Other Options:

Reports may be faxed to:

MCBR Receipts
Attn: Credit Balance Reporting

Medical Director

Fax: 1.615.664.5961

Clinical questions may be submitted in writing to:

Neil Sandler, MD
Chief Medical Officer, J15 A/B MAC
cmd.inquiry@cgsadmin.com

Updated: 08.04.23

spacer

26 Century Blvd Ste ST610, Nashville, TN 37214-3685 © CGS Administrators, LLC. All Rights Reserved