November 5, 2024
IVR Beneficiary Eligibility
To protect beneficiaries from Medicare fraud, Medicare Administrative Contractors (MACs) will disable beneficiary eligibility information from Interactive Voice Response (IVR) systems. All MACs must do so by March 31, 2025.
CGS will disable beneficiary eligibility information on February 28, 2025, at 5 pm CT (6 pm ET).
You must check beneficiary eligibility using:
- myCGS DME Web Portal (secure online web portal)
- Billing agencies, clearinghouses, software vendors
- HIPAA Eligibility Transaction System (HETS)
See the Checking Medicare Eligibility fact sheet for more information.
View the entire CMS instruction.