We handle coverage. You handle care.

Let CGS Health manage eligibility verification, payment and claims processing so you can get on with the business of patient care.

All the benefit information you need at your fingertips.

As a feature of your healthcare benefits, CGS Health provides secure internet access to give you the information you need, anytime you need it. Get instant access to:

Claims

Eligibility & Benefits

Verify eligibility and benefits through our 24/7 portal

Transparent billing icon

Provider Claims

Review Explanation of Payment, claim adjudication and payment status

Provider Portal

Need more assistance?

Our thoughtful, informed customer service verifies eligibility, resolves issues and gets you the care you need, when you need it.

Portal

Eligibility and Benefits:

Verify eligibility and benefits through our 24/7 portal.

precert

Pre-Certification:

Obtain prior authorization for services and prescriptions according to member’s plans.