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What is the best way for me to check the status of my claim?

Providers are required to use self-service technology, such as the Interactive Voice Response (IVR) system or the myCGS web portal to access claim status and beneficiary eligibility information. Customer Service Representatives (CSRs) will refer providers to these resources when calling for claims status or eligibility information. Exceptions will be made if your experience technical difficulties.

Interactive Voice Response (IVR) – Use the IVR to check the status of a specific claim by calling 1.866.290.4036 and select Option 1. You will need your facility's NPI, PTAN, and the last 5 digits of the provider TIN. Refer to the CGS J15 Part B IVR User GuidePDF for additional information. Use the Medicare Beneficiary Identifier (MBI) and Name to Number Converter self-service option. This tool converts letters to numbers for easy entry using your telephone keypad.

myCGS Web Portal – myCGS can also be used to check the status of claims. Refer to the myCGS User Manual, Claims Status Tab for detailed instructions. If you are not registered to access myCGS, refer to the myCGS Introduction Tab for additional information.

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