June 4, 2024
Testing for Medicare Dental (837D Format) Claims
Beginning on May 31, 2024, providers, clearinghouses, and vendors may:
- Enroll to submit the 837D transaction.
- Send test 837D transactions.
NOTE: Since this is a new transaction, 837D submitters must submit a minimum of 5 claims for testing before production status is approved.
CGS will return 999 and 277CA transactions to testing providers. Refer to Dental Claim Edits for 5010A2 837D Files for details.
The myCGS portal and Interactive Voice Response (IVR) system do not currently support inquiries related to 837D dental claim status. Until a self-service option is available, our customer service representatives (CSRs) may provide claim status information for 837D claims only. For other claim status inquiries, you must continue to use myCGS or the IVR.
Please review the information available on the CMS Medicare Dental Coverage page to determine if you should begin testing.