Claim appeals and Medicare reconsiderations — email and mailing address
Manual: use the Claim Appeal Request Form; Medicare contracted-provider reconsiderations use 'Attn: Claim Reconsiderations' at the same PO box. Corrected claims are not appeals.
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Make the call count.
Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.
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Denial notice, remittance and reason codes
Previous appeal confirmation and decision
Supporting evidence and any required authorization to represent the member
Questions to resolve
Is this a claim correction, provider dispute or member appeal?
What deadline and submission channel apply to this case?
How can the office confirm receipt and track the decision?
This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.
For healthcare offices
Found the contact. Still need to make the call?
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For the people making the calls
Put payer follow-up on your office’s worklist.
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A request does not create an account or start a call. Use business contact information only. No patient information.
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