tci Part B Insider - 2005 Issue 41

APPEALS: Everything Changes On Jan. 1 For Claims Appeals

Don't let the new time frames catch you nappingStarting Jan. 1, you'll have a new appeals process to cope with, according to a recent Medlearn Matters article (MM4019). The basics: Your carrier will still perform the first level of appeals--which will now be known as a redetermination--and you'll have 120 days to request this level of appeal. You'll have 180 days to file a request for the next level of appeal, known as a reconsideration, which will be performed by the Qualified Independent Contractor.After that, you have 60 days to request the third level of appeals, the Administrative...

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