Medicare Redetermination Request Form

by  Find-A-Code
November 9th, 2015

Medicare Redetermination Request Form - The Redetermination Request Form is for all DMEPOS suppliers to use when submitting a redetermination request. The form is designed so that users can easily include all of the basic information needed to submit a redetermination request and is valid in all four DME MAC Jurisdictions. A Checklist and Interactive Form are also available to assist in completing the form


Medicare Redetermination Request Form. (2015, November 9). Find-A-Code Articles. Retrieved from

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