Appeal of Redetermination Decision

If you disagree with the redetermination decision you may file for the next level of appeal. As stated in the decision letter the next level of appeal will be performed by another company not associated with United Government Services LLC. This Qualified Independent Contractor (QIC) will perform a new and impartial review called a Reconsideration.

To exercise your right of appeal you must file a written request within 180 days of receipt of a Redetermination letter.

Included with your Redetermination letter will be a form with instructions on who and where to send your Reconsideration appeal request. Also included are recommendations on documentation to be submitted with your request. A copy of the Reconsideration Request Form can also be found on the CMS website.

If you have any further questions please feel free to contact the Provider Support Department for more information.