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CGS Administrators, LLC

IVR: 866.238.9650 Customer Service and myCGS: 866.270.4909

Submitting a Claim

Getting Started

Before submitting claims, you must enroll in the Medicare program. This section provides you with information on getting started

Completing the Claim Form

Preparing a claim for Medicare can be complicated. Review this section to learn more about the claim preparation process and explore the tools available to assist you.


Medicare requires you to have proper documentation to support payment of your claim. Review this section for information on documentation requirements

Submitting Your Claim

Most Medicare claims must be filed electronically and within specific time frames. This section provides you with information on electronic options available for you. You will also learn about paper claim filing limitations.

Claim Preparation Tools

To help make your claim preparation and submission process a little easier, we have developed a variety of tools and calculators just for you.

Advance Beneficiary Notices (ABNs)

An Advance Beneficiary Notice (ABN) is a written notice that suppliers may give to a Medicare beneficiary before providing items and/or services that Medicare otherwise might pay for, but for this particular occasion is expected to deny.

Helpful Forms

We have developed a wide variety of forms to help you with everything from pre-claim documentation requirements to requesting a review of your claims payments. Most forms are available in English and Spanish!

The PWK Segment

When submitting claims to the DME MAC, you have the option of mailing or faxing hard copy documentation to accompany your electronically-submitted DMEPOS claims. This is accomplished through the use of what is called the PWK (paperwork) segment.

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