myCGS

Claims

Roster Billing

Roster billing was developed as a simplified process allowing providers to develop mass vaccination programs. If properly licensed, individuals and groups conducting mass immunization programs to administer flu, pneumonia, and/or COVID-19 vaccines may submit claims using this simplified format.

Roster bills may be submitted through myCGS.

  • Select the "Claims" tab then the "Roster Billing" sub-tab.

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In the Claim Information section:

  • Select the type of vaccine from the drop-down box
  • Select the applicable administration and/or vaccine code from the drop-down boxes
    • NOTE: There will be no vaccine code to select for COVID-19
  • Enter the date of service in the MM/DD/YYYY format
  • Enter the applicable administration and/or vaccine charges
    • NOTE: There will be no charge for the COVID-19 vaccine while it is provided for free by the government
  • Select the place of service code from the drop-down box
    • Mass immunizers must use POS 60

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In the Service Facility Information section:

  • Enter the complete facility address

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In the Rendering Provider Information section:

  • Enter the name and National Provider Identifier (NPI) of the rendering practitioner

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In the Billing Provider Information section:

  • Enter the type, name, complete address, and phone number of the billing organization/provider
    • Some information may auto-populate based on your myCGS account

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To complete the roster, you are required to attach an Excel spreadsheet identifying up to 50 patients who received the same vaccine billed on the claim at the same setting/place of service on the same date of service by the same provider. All of the following must be noted on the spreadsheet:

  • Patients Medicare ID
  • Patient Sex
  • Patient First Name
  • Patient Complete Address
  • Patient Last Name
  • Notification of signature on file
  • Patient Date of Birth
 

To ensure you capture all required information, we recommend using the Roster Bill Template Worksheet. Select 'Download template' in the Roster Information section.

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The Roster Bill Template Worksheet will open in Excel for you to complete.

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Select 'Choose File' to attach the completed Excel spreadsheet (up to 40 MB).

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Click "Submit" to send the completed roster bill.

myCGS will default to the "Submitted Roster Bills" sub-tab. Refer here to check the status of roster bills.

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