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Reconsideration

If a supplier is dissatisfied with a Redetermination, the next level of appeal is called a Reconsideration. Suppliers must file the Reconsideration request within 180 days of the date of the Redetermination decision.

A Reconsideration may be requested and submitted to the Qualified Independent Contractor (QIC), C2C Innovative Solutions, Inc., in writing using one of two ways:

  1. Complete and submit the Reconsideration Form [PDF]
  2. Submit a written request containing at least the following information:
  • Beneficiary name
  • Beneficiary Health Insurance Claim Number (HICN)
  • Specific service(s) and item(s) for which Reconsideration is requested and specific date(s) of service
  • Name and signature of party or representative of party
  • Name of contractor that made the Redetermination

To check the status of a reconsideration request go to the "Providers: Appeal Status Information This link will take you to an external website." section of the Q2 Administrators web site.

Last Updated Nov 03, 2016

Reconsideration Time Limit Calculator

Enter date of redetermination letter mm/dd/yyyy (ex: 09/04/2013)