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CGS Administrators, LLC

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Submitting Your Claims

Most suppliers are required to submit all Medicare claims electronically. The process is simple and, in some cases, free or low-cost software is available.

This section will provide you with information related to electronically submitting your claim. If you qualify to submit paper claims, we encourage you to review The Administrative Simplification Compliance Act (ASCA)External PDF requirements provided in the CMS Internet Only Manual (IOM) 100-4, Chapter 26.External PDF We have provided additional links for you below.

Before submitting your claims electronically, you must first enroll for Electronic Data Interchange (EDI). Enrollment is coordinated by the Common Electronic Data Interchange (CEDI) contractor.

Submitting claims electronically provides several benefits:

  1. Faster payment! Electronic claims are paid faster than paper claims.
  2. Earlier detection of claim errors! Immediate editing reducing likelihood of claims denying.
  3. Free software is available! HIPAA-compliant formats featuring claim submission and reporting functions.
  4. Lower administrative costs! EDI reduces postage and paper-related costs.
  5. Access to other electronic transactions including an Electronic Remittance Advice (ERA)!

You can also check the status of your claims electronically by using our myCGS online web portal or by purchasing Claim Status Inquiry (CSI) software. We have provided you with links to additional information below.

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