Article Detail - JE Part A
Redetermination versus Reconsideration - Appeals Newsletter Part 15
Noridian wanted to provide information to help providers determine if a level one redetermination, or level two reconsideration, is needed to have claim denials reviewed.
Redetermination
Did your office recently receive information on a remittance advice that claims were denied?
- Complete a Redetermination paper form or;
- Complete the portal process for a Level 1 Redetermination
Reconsideration
Did your office recently receive a letter with an unfavorable decision, or a Medicare Redetermination Notice (MRN)?
- Complete a Reconsideration paper form or;
- Complete the portal process for a Level 2 Reconsideration
Appeals Resources
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