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CGS Administrators, LLC

Serving the states of AL, AR, CO, FL, GA, LA, MS, NM, NC, OK, SC, TN, TX, VA, WV and the U.S. territories Puerto Rico and the Virgin Islands

Advance Beneficiary Notices (ABNs)

An Advance Beneficiary Notice (ABN) is a written notice that suppliers may give to a Medicare beneficiary before providing items and/or services that Medicare otherwise might pay for, but for this particular occasion is expected to deny. The ABN allows the beneficiary to make an informed consumer decision as to whether or not to receive the items or services for which he or she may have to pay out of pocket or through other insurance. An ABN should be issued prior to dispensing an item or service expected to be disallowed for the following reasons:

The current version of the Advance Beneficiary Notice of Noncoverage (ABN) is form CMS-R-131 (03/2020), which you can download on the CMS Beneficiary Notice Initiative Web pageExternal Website.

CGS Resources

CMS Resources

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