![]() ![]() A copy of the MRN or RA, and any other relevant documentation, should be sent with the reconsideration request to the appropriate QIC. The request should clearly explain why the appellant disagrees with the redetermination, and be accompanied by any evidence or allegations of fact or law related to the issue(s) in dispute. Any missing documentation identified in the notice of redetermination.Name of the contractor that made the redetermination.Name of the party or the authorized or appointed representative of the party.Specific service(s) and item(s) for which the reconsideration is requested, and the specific date(s) of service.Send a written request containing all of the following information:.The form CMS-20033 (available in “ Downloads" below), or.Instructions for filing a reconsideration request are on the MRN, and can also be found on the website of the Medicare Administrative Contractor (MAC) that issued the redetermination. A list of MAC websites and contact information can be found at: /Medicare/Medicare-Contracting/Medicare-Administrative-Contractors/Who-are-the-MACs#MapsandListsĪ reconsideration request can be filed using either: ![]() The redetermination decision is presumed to be received 5 days after the date on the notice unless there is evidence to the contrary.Ī reconsideration must be requested in writing. The redetermination decision can be communicated through a Medicare Redetermination Notice (MRN), a Medicare Summary Notice (MSN), or a Remittance Advice (RA). The appellant (the individual filing the appeal) has 180 days from the date of receipt of the redetermination decision to file a reconsideration request. A reconsideration is an independent review of the administrative record, including the initial determination and redetermination, by a Qualified Independent Contractor (QIC). Any party to the redetermination that is dissatisfied with the decision may request a reconsideration.
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