November 5, 2024
IVR Beneficiary Eligibility
To protect beneficiaries from Medicare fraud, Medicare Administrative Contractors (MACs) must disable beneficiary eligibility information from their Interactive Voice Response (IVR) systems by March 31, 2025.
CGS will disable IVR beneficiary eligibility information on February 28, 2025, at 5 PM CT (6 PM ET).
Once disabled, you must check your patient's eligibility using:
- myCGS J15 A/B/HHH MAC portal
- Billing agencies, clearinghouses or software vendors
- HIPAA Eligibility Transaction System (HETS)
- Direct Data Entry (Part A & HHH providers)
- Professional Provider Telecommunications Network (Part B providers)
See the Checking Medicare Eligibility fact sheet for more information.
View the entire CMS instruction.