Corporate
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

Forms

The following forms are designed for DME suppliers who submit claims to CGS. All forms are in the Portable Document Format (pdf). If you do not have Adobe Reader software, you can download External Website it at no cost.

Appeals

Forms


Checklists


Guides/Instructions


Medical Review

Forms


Checklists


Documentation Checklists

Guides/Instructions


myCGS and CSI

Forms


Checklists

Guides/Instructions


Medicare Second Payer

Forms


Checklists

Guides/Instructions


Claims/Reopenings

Forms


Checklists


Guides/Instructions


Electronic Data Interchange (EDI)

Forms


Checklists

Guides/Instructions


Overpayment Recovery/Financial

Forms


Checklists

Guides/Instructions

Miscellaneous

Forms


Checklists

Guides/Instructions

Español

Formularios


Checklists


Guía/Instrucciones


Two Vantage Way, Nashville, TN 37228 © CGS Administrators, LLC. All Rights Reserved