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.


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


In the Service Facility Information section:

  • Enter the complete facility address


In the Rendering Provider Information section:

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


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


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 Gender
  • Patient First Name
  • Patient Complete Address
  • Patient Last Name
  • Notification of signature on file
  • Patient Date of Birth

Instead of creating your own spreadsheet, you may download the template available in the Roster Information section of myCGS to capture all required information.


The template will open in Excel.


Once completed, attached your Excel spreadsheet or template to the claim. The attachment can be up to 40MBs in size.


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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