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myCGS User Manual

The myCGS User Manual provides detailed information about accessing and obtaining information from the myCGS web portal. The User Manual is aligned with the various Tabs available in myCGS. As a reminder, myCGS users are assigned rights to the Tabs by their myCGS Provider Administrator. Therefore, a myCGS user may not have access to all Tabs in myCGS. See Chapter 1: Overview of myCGS PDF for more information about Provider Administrator and Provider User rights.

Chapter 1: Overview of myCGSPDF

This chapter provides an introduction of myCGS, including Provider Administrator and Provider User roles, how to register, passwords, and logging in and out of myCGS.

Chapter 2: Claims TabPDF

This chapter explains how to access and view claims data using the myCGS web portal.

Chapter 3: Remittance TabPDF

Chapter 3 provides information about how to view and print remittance advices using myCGS.

Chapter 4: Eligibility TabPDF

This chapter includes instructions for accessing beneficiary eligibility information, including deductible and cap information, preventive benefits, Medicare Advantage plans, Medicare Secondary Payer (MSP), home health and hospice services, and hospital and skilled nursing facility (SNF) stays.

Chapter 5: Financial Tools TabPDF

Chapter 5 explains how to check your payment floor status, and determine recent checks issued to your office/facility.

Chapter 6: Messages TabPDF

The Messages chapter explains how to maintain the secure messages received in myCGS when various functions are performed in the portal, including requests for Redetermination and the eOffset process.

Chapter 7: Forms TabPDF

This chapter provides information on how to submit Redeterminations, eOffset requests, medical review additional documentation requests. It also provides information on how to submit, Part B reopenings, prior authorization requests for certain hospital outpatient department services and Medicare credit balance reports for Part A and Home Health & Hospice.

Chapter 8: Medical Review TabPDF

For your convenience, myCGS has an MR Dashboard available to you to QUICKLY identify MR ADRs sent to you. As an added convenience, you are able to perform a number of functions directly from your MR Dashboard!

Chapter 9: MBI Look-Up ToolPDF

The myCGS MBI Look-Up Tool will allow you to obtain a patient’s MBI.

Updated: 08.07.20

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