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 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

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.

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.
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 website.
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.
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.
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.

My Account

All users have access to the “My Account” tab. This tab is used to manage information specific to your account, such as passwords, security questions, contact information, linking accounts, and Multi-Factor Authentication (MFA) settings.

The "My Account" Tab

Select the "My Account" tab to access your myCGS information.

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myProfile

After clicking on the tab, myCGS defaults to the “myProfile”sub-tab, which includes your Username and contact information. There is also a section to set up Multi-factor Authentication (MFA). (See below for more on MFA.)

Be sure to save changes made to your myProfile sub-tab.

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Profile Verification

To meet CMS security guidelines, all users must verify that the information on his/her profile is accurate and current. This process is required every 250 days. myCGS tracks this timeframe to ensure this task is completed.

NOTE: If you have multiple accounts and IDs and selected one as your Super ID (see Account Linking), Profile Verification is performed on just the Super ID and not the accounts linked to the Super ID.

As the verification period approaches, upon login, myCGS will notify you to verify your account. The pop-up message provides instructions on how to complete this task.
From the “My Account”tab, review the information on your “myProfile”sub-tab to ensure all is accurate and current. Make changes as needed.
Click "Re-Verify"to confirm all is correct.
You will be prompted to review and accept the myCGS Terms of Use.
Once accepted, the counter will restart at 250 days.

Change Username

After you have been assigned a system-generated Username, you are able to customize it to something that is more familiar to you. Usernames must meet the following requirements:

Must be a minimum of at least seven characters
Have a maximum of 25 characters long
Cannot contain special characters or symbols

To customize your Username:

Enter a new username in the Username field.
Click "Check Availability" to see if the new username is available.
If your new username is available a message will display to let you know. If it is not available a message will display to let you know, and to select a new username.
Click "Save" at the bottom of the page once you've selected a unique username. A confirmation box will display. If you agree to the change, click "Submit."

NOTE: When you make a change to your profile, notice that the "Profile Verification" timeframe, which is required every 250 days, starts over. Refer to the "Profile Verification" section above for additional information.

Authenticator Setup

You may also link the Google Authenticator app to myCGS under the myProfile sub-tab.

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Google Authenticator allows you INSTANT access into myCGS, giving you an alternative to receiving your Multi-factor Authentication (MFA) code via text or email, which can take up to 15min to receive. To install this SPEEDY option, please refer to the “Google Authenticator” section below.

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mySecurity

During the registration process, you were prompted to select six questions and provide answers to those questions. The purpose of the questions is to validate your identity should you forget your password and need to reset and choose a new one.

Under the "mySecurity"sub-tab, you may change the questions you selected originally and provide new answers.

Click the drop-down box for any question you would like to change. Once you find a question that applies to you, select it. Enter the answer in the "Answer" field.

NOTE: There are a total of six validation questions, so be sure to complete all six question and answer fields. Click "Save" when finished.

Change Password

myCGS requires that you change your password at least once every 60 days. You will receive reminders as the date nears. If your password is compromised, you are encouraged to change your password immediately instead of waiting for the 60-day notification.

To change your password:

Select the "Change Password" button from the "mySecurity" sub-tab.
For your convenience, the password requirements are provided on the screen.
Enter your current password.
Enter and re-enter your new password according to the password requirements. Click on the eye icon if you are in a secure environment and would like to see what you type in these fields.
Click "Save."

NOTE: To help you meet security requirements, myCGS will suggest a password for you. You are welcome to use that password or one of your own choosing.
A confirmation message will display.

myCGS Password Expiration Notice

A new message with a countdown will now display when your password is set to expire within 10 days. There will also be a “Update your password now” link to take the user directly to the change password screen.

To change your password:

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myProviders

The accounts you have access to are all identified under the "myProviders" sub-tab. You will see the PTAN, NPI, Provider Name, and the status of that account.

You also have access to view the myCGS tabs and permissions you have been granted for each account by clicking on the gear icon and selecting the "Edit Permissions" link.

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If there is a myCGS function or tab that you cannot access but would like to, you may send a request to your Provider Administrator.

Select the function from the "Requested Permissions" column and click "Submit" to send your request.
You will receive a message letting you know the request has been sent. Your Provider Administrator will either approve or deny the request.

Add a Provider

You may submit a request to add a new provider to your listing by clicking the "Add a Provider" button.

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Enter the PTAN of the provider account you would like to add.
Enter the NPI of the provider you would like to add.
Select the Line of Business of the provider you would like to add from the drop-down box then click the "Verify Provider" button.
If the provider information entered is verified to be for a provider that is already established in myCGS, you will then select the permissions you would like to have for that provider account.
If the provider entered is not verified, you may contact your Provider Administrator or enter additional provider information to register the provider.
- This includes the provider's name, Tax ID Number (TIN) (without dashes), and the amount of the most recent Medicare payment. Note that this is the same information required in the registration process. Also note that the provider must have an EDI Enrollment Agreement on file with us.

If you need assistance with this step, please contact the EDI Help Desk.

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Account Linking

myCGS requires users to maintain separate User IDs for each PTAN/NPI combination. If you manage multiple accounts, you have multiple User IDs.

Account Linking allows you to combine multiple User IDs under one Super ID. From your new Super ID, you can select one of your linked accounts to perform functions available under that PTAN/NPI.

NOTE: User IDs linked to your selected Super ID must be active. If, for example, the User ID has been terminated due to inactivity, was not recertified by your Provider Administrator, did not receive timely profile verification, or was terminated by your Provider Administrator, it cannot be linked to your Super ID.

To link an account:

Log in to myCGS under the User ID you would like to set up as your Super ID.
Select the My Account tab, then select the Account Linking sub-tab.
In the User ID field, enter a User ID you would like to link to your Super ID. Enter the password for that User ID.
Click the Link Account button.

If the account you are attempting to link is active, a confirmation message will display to let you know the account will be linked within 24 hours.
If you have other User IDs that you would like to link under your new Super ID, repeat steps 1-4 above.
- In the User ID field, enter additional User ID and the password for that User ID.
- Click the Link Account button.
As requests are submitted, confirmation that the requests were received are delivered to the myCGS inbox of the Super ID.
You may select the Pending Requestsdrop-down to verify the User IDs you requested to link to your Master ID.
Once the linking process for each request is complete, separate confirmation emails will be sent to you at your registered email address.
Confirmation will also be delivered to the myCGS inbox of the Super ID.
You may select the Completed Requests drop-down to verify the User IDs you requested to link to your Super ID were linked.
Once complete, when logged in with your Super ID, you will select the account you would like to access by clicking on the drop-down at the top of the screen.
The drop-down is accessible from all tabs in myCGS, allowing you to easily switch between accounts.

Account Linking Tips!

Once a User ID is linked to a Super ID, that User ID becomes inactive on the date it is linked. You can no longer log into that account. You must log in with your Super ID.
This error message will also display when you attempt to link a User ID to a Super ID that has already been linked.
Inactive User IDs cannot be linked to a Super ID.
When attempting to link a User ID to a Super ID, please be sure to enter the password correctly. Three unsuccessful log-in attempts will cause that User ID to be locked. Your Provider Administrator must unlock the account.
Your Provider Administrator will continue to have control of the account even after a Super ID is established.
The 30-day log in requirement will apply to Super IDs.
The Provider Administrator will still be required to complete the recertification process for each User ID every 90 days. The Profile Verification process completed by each user every 250 days will only be required for the Super ID.
If a tab is grayed, check with your Provider Administrator to grant you access.
When changing your email address, you will be prompted to enter it twice to ensure what you've entered is correct.
When updating the field showing you work for a billing service or clearinghouse, note that the billing service/clearinghouse address fields will display for you to complete.

Multi-Factor Authentication (MFA)

CMS requires us to implement an additional level of security when accessing myCGS due to the amount of sensitive information accessible through the web portal. The MFA process meets that requirement, as users are required to enter an eight-digit code before gaining access to myCGS.

During the registration process, you identified whether you wanted to receive your MFA code via e-mail, text, or both. This option can be changed under the "Account Information"sub-tab.

If you want to add the text option, complete the "Mobile Phone"and "Carrier" fields located at the bottom of the page.

Image of Account Information sub-tab showing the bottom of the My Account page and Multi-Factor Authentication section.

Google Authenticator (GA)

Instead of receiving your MFA code via text or email, you may use the Google Authenticator (GA) app. The app is available for download on your desktop computer/laptop or mobile devices. For mobile devices (i.e., cell phones, tablets) you may download the app from the App Store (Apple) and Android Play Store (Android).

To install GA onto your desktop computer/laptop:

Go to the My Account tab / myProfile sub-tab. There you will see an option to set up Google Authenticator app.
Select the Authenticator Setupbutton located at the bottom of the page.
Once the page expands, click on the Direct Link link to access the extension.
A new window will open. Select the type of browser you use on your desktop computer/laptop, either Chrome, Firefox, or Edge. Be sure you are using the actual browser you select.
Instructions will display based upon the browser selected.
- When Chrome is used, click on the blue box, "Add to Chrome."

When Edge is used, click on the blue box, "Get."

When Firefox is used, click on the blue box, "Add to Firefox."

For instant access, we suggest you pin the GA icon to the toolbar.

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Log into myCGS, go to the "My Account" tab, and complete the steps based on the browser you use.

To install the Google Authenticator mobile app and link it to myCGS:

Once logged into myCGS, go to your My Account tab and the myProfilesub-tab.
After clicking the Authenticator Setup button, the window will expand to display the setup instructions.
Select the instructions that coincide with the device you are using.
- If using an iPhone or iPad, select the iOS link. Instructions will display specific to Apple devices. (NOTE: The screen defaults to iOS instructions.)

If using an Android phone or device, select the Android link. Instructions will display specific to Android devices.

Find the Google Authenticator app in your app store. Download and install the app directly onto your device.

Follow the remaining instructions for your type of device:

iOS	Android
In the app, tap BEGIN SETUP Tap Scan Barcode Choose OK when Google Authenticator asks for access to your camera Use your device's camera to scan the barcode located in myCGS Enter the 6-digit code that appears in the Google Authenticator app into the field below the barcode Click the Check Code button	In the app, tap the + sign located on the bottom right Tap Scan a QR Code Use your device's camera to scan the barcode located in myCGS Enter the 6-digit code that appears in the Google Authenticator app into the field below the barcode Click the Check Code button

If entered correctly and the app links to your myCGS account, a message will display at the top and a green check will appear over the barcode.
Click SUBMIT to save your changes.
Next, a message box will display asking you to confirm you scanned the code. Click Yes.
You will be logged out of myCGS.

TIPS

If you have multiple myCGS accounts, you may set up Google Authenticator separately for each log in ID.
- Be sure to select the 6-digit code that is assigned to the account for which you are logging in.
If the icons are not available on the MFA screen, please click Regenerate Code.

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Confirm/Verify Changes

When changes (such as those noted above) are made to any of the sub-tabs, you must save your changes.

Click "Submit"to save your updates.
In some cases, a simple message will display confirming the changes requested.
In other cases, myCGS will default to the login screen, displaying a message to confirm an update was made to your information. You will be directed to your e-mail to click on a verification link.
Click the link in your e-mail.
A new browser window will open, displaying a message confirming verification. You may log back in from this screen.