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Refund Check for Demand Letters Refund Check for Demand Letters

When you have received a Medicare demand letter and sending a check to make payment on the debt, include a copy of the demand letter with your check. You may combine amounts and send a single check. Only one check is needed, regardless of how many beneficiary accounts were included in the demand letter. 

If a portion of the check is related to an Extended Repayment Plan, include a loan number or a copy of the amortization schedule.

Medicare Refund Helpful Tips:

  • Send separate checks for overpayments previously requested (demand letters) from those that are being voluntarily refunded.
  • Send separate checks for refunds due to Medicare Secondary Payer (MSP) from those being refunded due to Non-MSP.
  • Mail your check along with the required documentation associated with the refund.  Please remember to utilize the helpful hints section above. If your request is for MSP, please address to MSP Overpayment Recovery:
  • Mailing Address for refund checks:

    CGS – J15 Home Health & Hospice
    PO Box 957124
    St. Louis, MO 63195-7124

    Overnight Delivery:

    Through October 13, 2023:

    CGS Administrators, LLC - J15 Home Health and Hospice
    Lockbox 957124
    1005 Convention Plaza
    SL-MO-C1WS
    St Louis, MO 63101

    Beginning October 14, 2023:

    CGS Administrators, LLC - J15 Home Health and Hospice
    Lockbox 957124
    3180 Rider Trail South
    SL-MO-R1LB
    Earth City, MO 63045

Please allow CGS 20 days from the date of receipt to process refund checks for overpayments previously demanded.

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