LICENSES AND NOTICES

License for Use of "Physicians' Current Procedural Terminology", (CPT) Fourth Edition

End User/Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2009 American Medical Association (AMA). All Rights Reserved (or such other date of publication of CPT). CPT is a trademark of the AMA.

You, your employees and agents are authorized to use CPT only as contained in the following authorized materials including but not limited to CGS fee schedules, general communications, Medicare Bulletin, and related materials internally within your organization within the United States for the sole use by yourself, employees, and agents. Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement.

Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. Applications are available at the AMA websiteExternal Website.

This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements.

AMA Disclaimer of Warranties and Liabilities.

CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. No fee schedules, basic unit, relative values or related listings are included in CPT. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this file/product is with CGS or the CMS and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This Agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this Agreement.

CMS Disclaimer

The scope of this license is determined by the AMA, the copyright holder. Any questions pertaining to the license or use of the CPT must be addressed to the AMA. End Users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.

This license will terminate upon notice to you if you violate the terms of this license. The AMA is a third party beneficiary to this license.

POINT AND CLICK LICENSE FOR USE OF "CURRENT DENTAL TERMINOLOGY", ("CDT")

End User License Agreement

These materials contain Current Dental Terminology, Fourth Edition (CDT), copyright © 2002, 2004 American Dental Association (ADA). All rights reserved. CDT is a trademark of the ADA.

THE LICENSE GRANTED HEREIN IS EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. BY CLICKING BELOW ON THE BUTTON LABELED "I ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT.

IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "I DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN.

IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING.

  1. Subject to the terms and conditions contained in this Agreement, you, your employees, and agents are authorized to use CDT-4 only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Use of CDT-4 is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT-4. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials.
  2. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT-4 for resale and/or license, transferring copies of CDT-4 to any party not bound by this agreement, creating any modified or derivative work of CDT-4, or making any commercial use of CDT-4. License to use CDT-4 for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Applications are available at the American Dental Association websiteExternal Website.
  3. Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government use. Please click here to see all U.S. Government Rights Provisions.
  4. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. CDT-4 is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CDT-4. The ADA does not directly or indirectly practice medicine or dispense dental services. The sole responsibility for the software, including any CDT-4 and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. The ADA is a third-party beneficiary to this Agreement.
  5. CMS DISCLAIMER. The scope of this license is determined by the ADA, the copyright holder. Any questions pertaining to the license or use of the CDT-4 should be addressed to the ADA. End users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT-4. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.

The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "I ACCEPT". If you do not agree to the terms and conditions, you may not access or use the software. Instead, you must click below on the button labeled "I DO NOT ACCEPT" and exit from this computer screen.


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CGS Administrators, LLC Privacy Policy

Last reviewed: 10.05.20

CGS Administrators, LLC ("CGS" or "We") protects the privacy of personally identifiable information ("PII") collected on this CGS' Web Site (the "Site"). This Privacy Policy describes the PII We collect and how We use, disclose, and protect the PII that the user ("You") provides to CGS.

The Information We Collect

While using the Site, You may provide us with two types of PII:

  • Medicare Claims-Related PII. "Medicare Claims-Related PII" is information that directly relates to CGS Administrators' processing of claims for the Medicare Fee-for-Service program. This information includes, for example, the Legal Business Name, Company Address, Company Phone Number, Tax ID/EIN, PTAN, National Provider Identifier, and other information about the health care provider that You represent. It also includes claims, eligibility inquiries, claim status inquiries, redetermination requests, and information regarding repayments of Medicare overpayments.
  • Other PII. "Other PII" is information We collect that is NOT directly related to CGS' processing of claims for the Medicare Fee-for-Service program. This information includes, for example, names of administrators and users and their e-mail addresses, Security Question information, and other identifying information. We also may collect any information You submit in questions You send us through our "Contact Us" or similar features. By providing Other PII to us, You authorize us to use the information in accordance with this Privacy Policy.

Medicare Claims-Related PII is subject to the privacy policies of the Centers for Medicare & Medicaid Services ("CMS"), which administers the Medicare program. CMS describes those policies on various forms you complete as part of the process to enroll in Medicare, on CMS claims forms and other CMS forms. We collect and use Medicare Claims-Related PII (including Social Security Numbers) on CMS's behalf under the authority of the Social Security Act §§ 1842, 1862(b), and 1874 (42 U.S.C. §§ 1395u, 1395y(b), and 1395kk). As CMS's contractor, We must use, disclose, and safeguard Medicare Claims-Related PII in accordance with the applicable CMS policy. This Privacy Policy does not address Medicare Claims-Related PII.

This Privacy Policy applies only to Other PII.

We use Other PII for the purposes of (a) identifying valid users, (b) determining role-based access, (c) authenticating and approving access for conducting transactions related to processing of claims for the Medicare Fee-for-Service program and (d) responding to your inquiries. Except for our vendors who must comply with this Privacy Policy, We do not share Other PII with entities unless they are government agencies or entities performing functions on behalf of government agencies. In response to inquiries, We may disclose Other PII to the Department of Health and Human Services, the Department of Justice, or Congressional Offices. We may disclose Other PII to federal and state agencies for matters relating to fraud, program abuse, utilization review, quality assurance, peer review, program integrity, third-party liability, coordination of benefits, and civil and criminal litigation. You do not have the option to consent to or opt out of these uses or disclosures, and by providing Other PII to us, you authorize us to use and to make disclosures of the information in accordance with this Privacy Policy. If You decline to provide Other PII to us (thereby authorizing us to use and to make disclosures of the information in accordance with this Privacy Policy), you will be unable to use the Site.

Safeguarding Information

CGS is obligated by the federal Privacy Act, 5 U.S.C. Section 552a to protect your privacy. We use a variety of secure techniques designed to protect Other PII. These techniques include the following:

  • We require you to use a user name, password, and Multifactor Authentication (MFA) code to access the Site. You are responsible for keeping your password secure, however.
  • We regularly review our information safeguards with respect to collection, storage, and processing of Other PII, including administrative, physical, and technical security safeguards, to minimize the likelihood of unauthorized access to the Site.
  • We permit only employees or contractors who need to access Other PII in order to efficiently operate the Site and conduct transactions with You. These employees and contractors are subject to strict contractual confidentiality obligations and may be disciplined or terminated if they fail to meet these obligations.

Data collected through our websites will be kept long enough to achieve the specified objective for which they were collected. The data generated from these activities is subject to the National Archives and Records Administration (NARA) General Records Schedule (GRS) (https://www.archives.gov/records-mgmt/grs.htmlExternal website) sections GRS 3.1, GRS 3.2, GRS 4.1 and GRS 4.3; and will be retained and destroyed according to the requirements of the schedules set out therein.

Cookies

When You visit any website, whether our website or some other website, its server may generate a piece of text known as a "cookie" to place on your computer. The cookie allows the server to "remember" specific information about your visit while You are connected. The cookie makes it easier for You to use the dynamic features of Web pages. Cookies from the Site collect information only about your browser's visit to the Site. They do not collect personal information about You.

If You do not wish to have cookies placed on your computer, You can disable them using your Web browser. If You opt out of cookies, You will still have access to all information and resources on the Site. Instructions for disabling or opting out of cookies in the most popular browsers are located at http://www.usa.gov/optout_instructions.shtmlExternal website. Please note that by opting out of cookies, You will disable cookies from all sources, not just from the Site.

Links to Other Sites

The Site may include links to other Medicare-related sites, other government sites, and occasionally to private organizations. Once You leave the Site, You are no longer subject to this Privacy Policy. You should review the privacy policy of the sites You are visiting to determine how your PII will be used, disclosed, and protected on that site.

Changes to this Privacy Policy

Your use of this Site constitutes your acceptance of the terms of this Privacy Policy, as may be amended or revised by us from time to time. We may update this Privacy Policy from time to time. We may advise You that changes have been made by posting a notice on this Site or otherwise. The date of the latest revisions will be noted above at the beginning of this Privacy Policy. Please consult this Site and the Privacy Policy regularly for any changes.

Children

We do not knowingly collect or use information from children under the age of 18 without the consent of a parent or guardian. To best protect your child's privacy, You should please supervise your child's access to the Internet, and this Site's content, carefully. For more information on how to protect your child's privacy, You can visit the Federal Trade Commission's Kids' privacy page, accessible via www.ftc.govExternal website.

Corrections and Updates

To obtain a copy of Other PII You provided us, including how to make corrections or updates, You should contact us through the "Contact Us" section of the Site or by calling our Customer Service department at: (Part A) 866.590.6703 | (Part B) 866.276.9558 | (HHH) 877.299.4500 | (DME) 866.270.4909. Please do not transmit or email sensitive information to us for the purpose of corrections or updates.

Please note that this web site is specific to medical professionals, such as Physicians, Home Health and Hospice organizations, Hospitals, DME Suppliers, etc. Medicare beneficiaries and their representatives should contact 1.800.MEDICARE (1.800.633.4227) for all of their questions about Medicare Privacy.

Contacting the Privacy Office

Contact our Privacy Officer for any privacy questions or to report privacy concerns. You may contact the CGS Privacy Officer at 615.782.4568 or by writing to the following address:

CGS Administrators, LLC
26 Century Blvd STE ST610
Nashville, TN 37214-3685
Attention: Privacy Officer

26 Century Blvd Ste ST610, Nashville, TN 37214-3685 © CGS Administrators, LLC. All Rights Reserved