CGS Administrators Medicare — Jurisdiction 15
MedicareAlso covers: CGS, CGS Administrators, J15, Jurisdiction 15
Payer ID
Varies — confirm via portal / clearinghouse
A/B MAC Jurisdiction 15 — Kentucky and Ohio. CGS also serves as a DME MAC (Jurisdictions B & C). EDI payer IDs vary by transaction.
Timely Filing Limit (TFL)
1 calendar year from date of service (Medicare FFS statutory limit)
Appeal Window
Redetermination: 120 days from receipt of the Remittance Advice / initial determination
Clearinghouse
Varies — confirm via portal / clearinghouse
Provider Services
Varies — confirm via portal / clearinghouse
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.cgsmedicare.com/
CGS Administrators is the MAC for Jurisdiction 15, covering KY and OH, and also operates as a DME MAC.
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
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