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Auxilary Aids & Services

For information about the availability of auxiliary aids and services, please visit:

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Jurisdiction 11 Part B

Access information regarding your appeal rights on the Palmetto GBA Appeals page:

  • Avoid future appeals: use the Denial Resolution tool
  • eDelivery of Appeal letters, sign up in OPS today!
  • Some denials can be adjusted via telephone reopening, please call 855-696-0705
  • Appeals forms: complete the forms electronically then print and sign the forms, attach supporting documentation, and mail to the address on the form.
  • First level of appeal: redetermination. Time frame: 120 days from the date of the initial determination. Services that are 'rejected as unprocessable' with remark code MA130 must be corrected and resubmitted, and not appealed.
  • Second level of appeal: reconsideration. Time frame: 180 days from receipt of Redetermination (see above). Submit this form to the Qualified Independent Contractor (address is located on form).

Fax number for Part B redetermination requests: (803) 699-2427

You may also mail redetermination requests to:

Palmetto GBA Part B – AG-655
P.O. Box 100190
Columbia, SC 29202-3190

Status Lookup Tools:

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Misrouted QIC Reconsideration Requests08/19/2015
Limiting the Scope of Review on Redeterminations and Reconsiderations of Certain ClaimsOpen in New Window08/17/2015
Appeal Rights: Know the Rules08/12/2015
Hints for Submitting Medical ADR (Additional Documentation Requests) or Appeal Requests07/27/2015
Medicare Parts A & B Appeals Process CMS Fact SheetOpen in New Window07/14/2015
Reconsideration: Second Level Appeal Reminders05/27/2015
Signatures on First Level Appeals05/15/2015
Get Your First-Level Appeal Letters Delivered Electronically!05/04/2015
Fax for Appeals03/31/2015
Prevent Duplicate Appeal Requests03/11/2015
Redetermination Requests01/09/2015
Part B Checklist for Timely Filing Extension12/05/2014
Second Level of Appeal: Reconsideration Request Form12/04/2014
Avoid Processing Delays and Send the Overpayment Demand Letter With Your Appeal Request12/01/2014
Calendar Year 2015 Update: Amount in Controversy Requirements for Administrative Law Judge (ALJ) and Federal District Court Appeals10/20/2014
General Appeals Information10/20/2014
Redetermination Time Limit: Reminder10/09/2014
Telephone Reopening Tips10/01/2014
Redetermination Status Tool Available Online08/15/2014
When to Request a Redetermination or a Reopening: Reminder06/19/2014
More Appeals Forms Now Available in Online Provider Services (OPS)05/20/2014
New OPS Forms for Requesting a Reopening or Redetermination05/13/2014
Prevent Duplicate Appeal Requests05/03/2014
Instead of a Written Redetermination: Consider Having Your Claim Reopened03/20/2014
Guidelines to Allow Contractors to Develop and Utilize Procedures for Accepting and Processing Appeals via Facsimile and/or via a Secure Internet Portal/Application03/01/2011


last updated on 8/01/2015
ver 1.0.51