Appeals

Beneficiaries and providers dissatisfied with National Government Services’ claim payment determination may use the appeals process to resolve any disagreement. The Part A Appeals Department is responsible for processing Part A and Part B redeterminations, forwarding and effectuating reconsiderations, and effectuating administrative law judge (ALJ) and Medicare appeals council (MAC) hearings accurately and on time.

Index

• Appeals Contact Information
• Appointment of Representative
• Documentation Requirements by Type of Service
• Levels of Appeal and the Appeals Process
• Reopenings for Minor Errors and Omissions