What is myCGS?
myCGS is a FREE, web-based, secure provider self-service application developed specifically to serve the needs of health care providers and their staff throughout our Jurisdiction 15. CGS's goal is to give providers secure, fast access to their Medicare information seamlessly via the myCGS portal.
The myCGS application provides the following types of information:
- Beneficiary eligibility
- Claims status
- View and print Remittance Advices
- Access to financial information
- Submit Redetermination requests
- Receive correspondence from CGS
- Obtain a patient's Medicare Beneficiary Identifier (MBI)
- Check eligibility dates for Medicare-covered preventive services
- Determine Medicare Secondary Payer (MSP) status
- Identify Medicare Advantage (MA) enrollment
- Respond to claims and Medical Review Additional Documentation/Development Request (ADR) letters
- Request Comparative Billing Reports (CBRs)
- Submit roster claims for mass immunizers
- And MUCH more!
Terms and Conditions
The Terms and Conditions provide privacy and security notices consistent with applicable federal laws, directives, and other federal guidance for accessing this Government system, which includes:
- This computer network,
- All computers connected to this network, and
- All devices and storage media attached to this network or to a computer on this network.
Please note that myCGS is not to be used in multiple web browsers or with multiple (more than one) simultaneous log-ins.
This system is provided for Government-authorized use only.
Unauthorized or improper use of this system is prohibited and may result in disciplinary action and/or civil and criminal penalties.
Personal use of social media and networking sites on this system is limited as to not interfere with official work duties and is subject to monitoring.
By using this system, you understand and consent to the terms. To view the terms in its entirety, go to the myCGS Log-In page and click on "Terms" which is located in the lower-right corner.
HIPAA Eligibility Transaction System (HETS) Inquiries Rules of Behavior
The Centers for Medicare & Medicaid Services (CMS) is committed to maintaining the integrity and security of health care data in accordance with applicable laws and regulations.
The HETS Rules of Behavior reiterates your responsibility in obtaining, disseminating, and using beneficiaries' Medicare eligibility data. For example, there are measures in place to determine if eligibility inquiries are obtained using outside technology and at a high ratio. It further explains the expectations for using HETS. You must accept these HETS Rules of Behavior in order to gain access to the system.