Frequently Asked Questions
When Medicare’s decision is to deny or partially deny a service or claim, providers and beneficiaries may appeal the initial claim determination. Here you will find helpful tips and educational material to aid in the appeals process.
Clarification of the First Level Appeal Decision LetterC2C's Top Three Appeals CategoriesGet Your First-Level Appeal Letters Delivered ElectronicallyProvider Adjustments Denied for Medical Necessity or After an Appeal Has Been SubmittedPart A East Qualified Independent Contractor (QIC) Telephone Discussion and Reopening Process DemonstrationOutpatient Prospective Payment System (OPPS): Redetermination Requests for Drugs Acquired under 340B ProgramC2C Innovative Solutions, Inc.: Qualified Independent Contractor (QIC) for Part A East JurisdictionsMedicare Redetermination Notices Mailing AddressGuide to Understanding the Limitation of the Scope of Review on Redeterminations and Reconsiderations of Certain ClaimsCan I Appeal My Claim Denial? ModuleFully Favorable Decisions: Part A and Part B AppealsHow to Use Modifiers to Indicate the Status of an Advanced Beneficiary Notice (ABN)