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What Documents are Needed?

You are responsible for providing all of the information needed to support payment of your claims. The following information will assist you with the appeals process, and more specifically, provide clarification regarding the appropriate information to submit with appeal requests. There are instances that will require your office to submit supporting documentation at the time of your initial appeal request. Only you can decide which documentation best supports your claim. Please provide all relevant information and documentation at the time the initial appeal is requested, additional information will not be requested.

Home Health

Supporting Medical Records

Medical Records to Support an Appeal

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Appeals Decision Tree

J6 Mailing Address:

National Government Services, Inc.

P.O. Box 6475 | Indianapolis, IN 46206-6475

JK Mailing Address:

National Government Services, Inc.

P.O. Box 7111 | Indianapolis, IN 46207-7111

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