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CGS Administrators, LLC

IVR: 866.238.9650 Customer Service and myCGS: 866.270.4909

Medical Review 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.

Additional Supplier Documentation Forms
Certificate of Medical Necessity (CMN) and DME Information Form (DIF) Forms
Educational Programs
Enteral and Parenteral Nutrition
Glucose Monitors
Hospital Beds/Accessories
Immunosuppressive Drugs
Local Coverage Determination (LCD)
Lower Limb Protheses
Mobility Devices
Negative Pressure Wound Therapy
Osteogenesis Simulators/Nerve Stimulators
Pneumatic Compression Devices
Pre-Claim Review
Pressure Reducing Support Surfaces
Refill Request
Surgical Dressings
Therapeutic Shoes for Person with Diabetes
Urological Supplies
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