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Provider Based Determinations Submission Instructions

Please submit signed attestation certification, checklist, and  all documentation:

Via email to:    J15.reimbursement@cgsadmin.com

Or by postage service or courier to:

CGS
J15 Part A Audit & Reimbursement
AG-720
26 Century Blvd STE ST610
Nashville, TN 37214-3685

Reviewed: 12.02.22

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