Additional Documentation Requests (ADR) and Appeals - Appeals Newsletter Part 2

When submitting an appeal as a result of an Additional Documentation Request (ADR):

  • All fields must be completed on the Appeal form.
  • If submitting ADR letter, please make it clear what it is you are appealing, and what you would like us to do.

How can the provider resolve this error?

  • Complete all sections on the Appeal form
  • If sending an appeal from your ADR, please include a letter telling us what you would like us to do and why
    • It is always better to submit a completed appeal form

Resource

Redetermination

 

Last Updated Jan 04 , 2023