What if I disagree with the decision made on my appeal?

September 20, 2009 by admin

If you disagree with the redetermination decision, you have the right to ask for a second level appeal, called a reconsideration. You should read the redetermination decision carefully because it will explain how to ask for a reconsideration. A Qualified Independent Contractor (QIC) that didn't take part in the first appeal makes the reconsideration decision.You can also write a letter. Your written request must include the following information:

• Your name
• Your Medicare Health Insurance Claim (HIC) number on your red, white and blue Medicare card
• The specific service and/or items for which a redetermination is being requested
• The date(s) of service
• Your signature or the signature of your authorized or appointed representative