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Provider Name Date of Appeal  Form

Provider Name Date of Appeal Form

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[Music] welcome to the national government services provider outreach and education video on the appeals process this video is specific to the appeals process as designed by the Centers for Medicare and Medicaid Services and is specific to national government services and the jurisdictions within its Medicare contract during this short presentation we hope to clarify different levels of appeal deliver clear instructions regarding how to properly appeal a denied claim offer information regarding timely filing regulations explain level 2 qia PAE Appeals demo and provide references and resources for all levels of Appeal let's get started and discuss to reopen use a reopening is also referred to as pre redetermination a reopening is not an appeal but a request to reopen a claim three openings are not processed through the appeals Department and only occur at the discretion of the Medicare administrative contractor or the match if a contractor refuses to reopen a claim for a minor error tha

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