Right to Reconsideration - (Rev. 4, 07-18-03)

7040 - Right to Reconsideration - (Rev. 4, 07-18-03) A. You Disagree With the Hospital's Determination If you disagree with the hospital's determination of non-coverage (i.e., you determine that the care was covered), your decision is not subject to reconsideration as this is neither a denial determination nor a QIO determination under §1154 of the Act. B. You Agree With the Hospital's Determination If you agree with the hospital's determination either prior to or after issuance of the hospital's notice, issue a denial notice. Your determination is subject to reconsideration in accordance with 42 CFR Part 478 and instructions found in §§7100-7115.