Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 230

Where to Appeal

Last amended: 2019Year: 2019Length: 111 wordsOfficial source
230 - Where to Appeal (Rev. 4380, Issued: 08-30-19, Effective: 07-08-19, Implementation: 10- 01-19) Where a party must file an appeal depends on the level of appeal. The chart below indicates where appellants should file appeal requests for each level of appeal. CHART 2 - Where to File an Appeal LEVEL WHERE TO FILE AN APPEAL Part A* Part B DME Redetermination MAC MAC MAC LEVEL WHERE TO FILE AN APPEAL Reconsideration QIC QIC QIC ALJ Hearing HHS OMHA Central Operations HHS OMHA Central Operations HHS OMHA Central Operations Appeals Council Review Appeals Council Appeals Council Appeals Council *Includes part B claims filed with the Part A Medicare Administrative Contractor (MAC).
Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 230: Where to Appeal | Justis AI