A clerical error/omission reopening is an action taken to change an initial determination to correct minor errors or omissions outside of the Medicare appeal process.
You can submit your reopening requests using our free, secure internet portal, NGSConnex.
If you are an existing NGSConnex user, you can initiate a redetermination by completing the following steps:
Please Note: If there are multiple services on the same claim in question (same ICN), you only need to submit a single redetermination/reopening request. You should not submit multiple redetermination/reopening requests for the same claim.
Complete the Clerical Error/Omission Reopening Request Form and return to the appropriate address for your jurisdiction.
Be sure to include the following information with your reopening request:
Important: Be sure to sign and date the reopening request.
You can submit your appeal request for a claim determination or reopening using our free and secure Internet portal, NGSConnex. You can also check the status of your redetermination/reopening requests.
If you are an existing NGSConnex user, you can initiate a redetermination by completing the following steps:
Please Note: If there are multiple services on the same claim in question (same ICN), you only need to submit a single redetermination/reopening request. You should not submit multiple redetermination/reopening requests for the same claim.
TRU representatives are available:
Please be prepared to provide the following information when you call the TRU:
Note: MSP claims can only be processed within one year from the date of denial or payment.
Exception: If Medicaid or another government entity paid in error, please submit a written request.
(Reference: CMS Internet Only Manual 100-04, Medicare Claims Processing Manual, Chapter 34, Section 10.11).
Complete the Part B Reopening Request Form and return to the appropriate address for your jurisdiction.
National Government Services, Inc.
P.O. Box 6475
Indianapolis, IN 46206-6475
National Government Services, Inc.
P.O. Box 7111
Indianapolis, IN 46207-7111
You can submit your reopening requests using our free, secure internet portal, NGSConnex.
If you are an existing NGSConnex user, you can initiate a redetermination by completing the following steps:
Please Note: If there are multiple services on the same claim in question (same ICN), you only need to submit a single redetermination/reopening request. You should not submit multiple redetermination/reopening requests for the same claim.
Complete the Clerical Error/Omission Reopening Request Form and return to the appropriate address for your jurisdiction.
Be sure to include the following information with your reopening request:
Important: Be sure to sign and date the reopening request.
You can submit your appeal request for a claim determination or reopening using our free and secure Internet portal, NGSConnex. You can also check the status of your redetermination/reopening requests.
If you are an existing NGSConnex user, you can initiate a redetermination by completing the following steps:
Please Note: If there are multiple services on the same claim in question (same ICN), you only need to submit a single redetermination/reopening request. You should not submit multiple redetermination/reopening requests for the same claim.
TRU representatives are available:
Please be prepared to provide the following information when you call the TRU:
Note: MSP claims can only be processed within one year from the date of denial or payment.
Exception: If Medicaid or another government entity paid in error, please submit a written request.
(Reference: CMS Internet Only Manual 100-04, Medicare Claims Processing Manual, Chapter 34, Section 10.11).
Complete the Part B Reopening Request Form and return to the appropriate address for your jurisdiction.
National Government Services, Inc.
P.O. Box 6475
Indianapolis, IN 46206-6475
National Government Services, Inc.
P.O. Box 7111
Indianapolis, IN 46207-7111
National Government Services, Inc.
Appeals Department
P.O. Box 6474 | Indianapolis, IN 46206-6474
National Government Services, Inc.
Appeals Department
P.O. Box 7111 | Indianapolis, IN 46207-7111