Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 320.2

Time Limit for Filing a Request for a Reconsideration

Last amended: 2019Year: 2019Length: 205 wordsOfficial source
320.2 - Time Limit for Filing a Request for a Reconsideration (Rev. 4380, Issued: 08-30-19, Effective: 07-08-19, Implementation: 10- 01-19) A party must file a request for reconsideration within 180 days of the date of receipt of the notice of the redetermination. The date of filing for requests filed in writing is defined as the date received by the QIC in their corporate mailroom. If the party has filed the request in person with the QIC, the filing date is the date of filing at such office, as evidenced by the receiving office’s date stamp on the request. If the party has mailed the request for reconsideration to a CMS, SSA, RRB office, or another government agency in good faith within the time limit, and the request did not reach the appropriate QIC until after the time period to file a request expired, the QIC considers the request as timely filed. Likewise, if the request is filed with CMS, SSA, RRB, or another government agency in person, the QIC considers the request as timely filed. The QIC may extend the period for filing if it finds the appellant had good cause for not requesting the reconsideration timely. (See §240 for a discussion of good cause.)
Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 320.2: Time Limit for Filing a Request for a Reconsideration | Justis AI