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CGS Administrators, LLC

(Private)  
Healthcare - Health Services
Overview
We provides services to over 20 million healthcare recipients and 85,000 healthcare professionals across the United States. With over 46 years of successful business operations in the nation’s healthcare system, our experienced staff, proven processes, and efficient systems produce positive results in meeting business objectives and reducing costs.

Headquartered in Nashville, TN, with offices in IA, NC, SC, and TX, CGS’s more than 1,100 experienced employees provide services including healthcare claims processing and payment, customer service, provider credentialing, enrollment and education, medical necessity, pre- and post-payment review, as well as cost reduction through systems and process improvements.
MEDICARE
We provides a variety of services for Medicare beneficiaries, healthcare providers, and medical equipment suppliers in 33 states, supporting the needs of over 20 million Medicare beneficiaries and 85,000 healthcare professionals nationwide. CGS operates as a Part A, Part B, Home Health & Hospice (HH&H), and Durable Medical Equipment (DME) Medicare Administrative Contractor for the Centers for Medicare & Medicaid Services (CMS).
MEDICAID
We provides a full suite of flexible administrative services that enables health plans to reduce costs and focus on core capabilities and their members. The services we provide leverage our anti-fraud efforts and subject matter expertise as the largest DME claims processor and the second largest HH&H claims processor in the country. We effectively incorporate new CMS requirements that impact the performance and profitability of health plans.
WE IMPACT LIVES!
CGS is an active member of the communities we serve. Our employees participate in local, regional, and national community programs and volunteer their time and money supporting many charitable organizations. We believe the work we do impacts lives.