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Reconsideration (QIC)

The second level of appeal is the reconsideration request and is carried out by the QIC.

  • Time limit to initiate = 180 days from date of receipt of redetermination decision
  • Time limit to complete the review = 60 days
  • Amount in controversy = no minimum amount

Go to the Original Medicare (Fee-for-service) Appeals page on the CMS website for additional information regarding reconsiderations and QICs.

Submit a Reconsideration

In Writing

Please complete the CMS-20033 Medicare Reconsideration Request Form or the reconsideration request form included with the redetermination decision.

Send the completed CMS-20033 Medicare Reconsideration Request Form to the QIC appeals mailing address:

C2C Innovative Solutions, Inc.- QIC Part B North
P.O. Box 45208
Jacksonville, FL 32232-5028

In Writing

Please complete the CMS-20033 Medicare Reconsideration Request Form or the reconsideration request form included with the redetermination decision.

Send the completed CMS-20033 Medicare Reconsideration Request Form to the QIC appeals mailing address:

C2C Innovative Solutions, Inc.
QIC Part A East Appeals
P.O.  Box 45305
Jacksonville, FL 32232-5305

MAXIMUS Federal Services, Inc.
QIC Medicare Part A West
3750 Monroe Ave. Suite 706 
Pittsford, NY 14534

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Mailing Address:

C2C Innovative Solutions, Inc.

QIC Part B North

P.O. Box 45208

Jacksonville, FL 32232-5208

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