Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 270.2.5
Where to Submit the Transfer of Appeal Rights
270.2.5 - Where to Submit the Transfer of Appeal Rights
(Rev. 4278, Issued: 04-12-19, Effective: 06-13-19, Implementation: 06-13-19)
When the provider or supplier submits the original or a copy of the signed transfer of appeal rights form, the
MAC shall place it in the case file. The provider or supplier should also give the beneficiary a copy of the
completed form.
If a contractor has received CMS approval for, and is accepting appeals through, the use of a secure Internet
portal/application (See 310.1.B.2.c), contractors should provide instructions to appellants using the Internet
portal/application on how to submit a copy of the signed transfer of appeal rights form when submitting an
appeal.