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Medicare Claims Processing Manual Chapter 29 - Appeals of Claims Decisions

Guidance for Medicare beneficiaries, providers, suppliers and applicable plans who seek to appeal a claim determination. This document outlines how to appoint a representative on behalf of the appealing party, guidelines for writing appeal correspondence, and the various levels of the appeal process.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: August 30, 2019

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.