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Guide

CGM Campaign Guide

CGM campaigns generate qualified patient interest in continuous glucose monitors for people managing diabetes. The qualifying population is narrow, so volume is lower and per-transfer value is higher than general DME.

Published 2026-02-09 · Last updated 2026-02-18

A narrow, specific population

CGM qualification requires a diabetes diagnosis and usually a management method meeting payer criteria. This is a much smaller population than general DME, which changes how you staff: fewer dials produce a qualified contact, so agents need to work lists efficiently rather than expecting broad hit rates.

Screening without advising

Agents ask the approved clinical screening questions and record answers verbatim. They do not explain what a given answer means, do not indicate eligibility, and do not discuss whether a device would help. The same medical-claims line that governs DME applies here in full.

Insurance qualification

Coverage screening is a mandatory criterion rather than a nice-to-have, because the economics of the transfer depend on it entirely. Campaigns publish which coverage types qualify, and transfers outside those are non-billable regardless of clinical fit.

Where centers go wrong

The most common failure is agents softening the screening to increase transfer volume — accepting a vague answer on diagnosis or management method rather than recording what the patient actually said. Buyers detect this quickly through clinical review, and it is treated as a quality breach rather than an honest mistake.

Common questions

How does CGM differ from DME operationally?
The screening is clinical and specific rather than general symptom-based, the qualifying population is far narrower, and per-transfer value is higher. Compliance requirements are equally strict.
Can agents ask about insulin use?
Only if the approved script includes that question. Agents ask exactly what is scripted, record the answer, and never interpret what it means for eligibility.

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