Please Note: There is no Medicare information on our corporate website. Please select a specific contract in the 'Search Within' box for Medicare related information.
© 2020 Palmetto GBA, LLC
We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.
Printed Date: 9/22/2015
No, do not submit a new claim. If your claim was denied with remittance advice remark code RARC M127 because the information requested by Medical Review was not returned within 45 days of the ADR letter date, return your ADR response(s) as soon as possible within 120 days from the date of the receipt of the denial. Submit your documentation with a Medical Review ADR Response — Late Submission Form. If we receive your response more than 120 days from the receipt of the M127 denial, Medical Review will not review the documentation. The documentation will be handled as a redetermination by Appeals. The receipt of the notice of the denial is presumed to be received five days from the date of the remittance advice.
We value your opinion and want to provide the highest-quality and most relevant Medicare knowledge possible. Please let us know if this article was helpful.
It didn't answer my question
This article was helpful
We’re glad we could help you today and appreciate your feedback. When you rate our articles as most helpful, we know that we are on the right track for providing you with important news and information.
We're sorry this article didn't help you today. We'll use your feedback to review this article to try to revise or expand it. Contact us with more feedback or a question on this topic.
Last Updated: 06/02/2020