J15 CGS Administrators, LLC: Ohio Medicare
CGS Administrators, LLC (CGS) administers Medicare health insurance for the Centers for Medicare and Medicaid Services (CMS) for Jurisdictions 15, which includes the state of Ohio. If you are a provider located in the State of Ohio and need to become an electronic submitter for your Medicare A/B Claims, please follow the enrollment instructions below.
Required Documents for those applying for new Submitter IDs
The following documents are required enrollment documents that must be completed prior to initiation of electronic claims submission.
1. Online EDI Enrollment Application
To obtain the forms above, please download them from:
We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.
Section 1 - EDI Application
Today's date should be prepopulated
Please choose “Apply for New Submitter ID” from the dropdown
Select your Line of Business from the dropdown
Section 2 - Submitter Information
Please enter your Business or Provider Name as the Owner Name
Leave the "Input Submitter ID" section blank
Type of Submitter: Choose Provider or Billing Service (if YOU are a billing service)
Please complete your demographic and contact information
Section 3 - Software Vendor & Network Service Vendor
For name of Software Vendor, please enter the name of the vendor creating your ANSI 837 files that you will be uploading to CGS via our secure connection
Please enter "Axiom sys" in the Network Service Vendor field (their online form will not let you enter the entire name)
Section 4 -Provider Information
Please enter your Organization/Group Practice information
If you have more than one Billing Provider, check the box at the bottom "Add another Provider" then enter that providers information
Please select "No" in response to the question "Would you like to order software?"
EDI Enrollment Agreement
Please enter your Group Practice/Provider Name, Address, and NPI
Once your information is entered please print your name, title, date, and sign the application
Submitting your Forms
It is recommended that you keep a copy of these forms for your records and if sending by mail, be sure to send documents with original signatures to:
PO Box 20018
Nashville, TN 37202
Faxing is recommended for faster service
J15 Fax: 615-782-4459
Waiting for a Response
After processing, a confirmation will be faxed to you as notification to begin filing claims electronically. If neither confirmation nor a returned packet is received after two weeks, contact the Technology Support Center toll-free at the number for your line of business: Part A 1-866-590-6703 or Part B 1-866-276-9558.
Once you have received your Submitter ID and Password from CGS, please call the SolAce Support Team and set an appointment for a Mailbox setup and Test Transmission to NGS.
Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.