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CGS Administrators, LLC

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What Is an Appeal?

The Medicare program offers DME Suppliers and beneficiaries the right to appeal claim determinations made by your DME MAC. The purpose of the appeals process is to ensure the correct adjudication, or processing, of your claim. There are 5 levels of the appeals process:

Who can request an Appeal?

Each appeal process has specific timelines and requirements. We have provided that information for you in "The 5 Levels of the Appeals Process" section of this website.

All appeals activities conducted with CGS are governed by the Centers for Medicare & Medicaid Services. We follow all CMS guidelines and instructions.

We have provided you with links to additional information below.

Related Information

Related Education

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