Skip over navigation

Reconsideration

If you are dissatisfied with a Redetermination, you may go to the next level of appeal, called a Reconsideration. 

Time Limit for Filing Request Monetary Threshold to be Met Time Limit to Complete Appellant's Request Where to File
180 days from Redetermination receipt date None 60 days from receipt date  Qualified Independent Contractor (QIC)

 

A Reconsideration may be requested and submitted to C2C Innovative Solutions, Inc. This link will take you to an external website. in one of two ways.

  1. Complete and submit a Reconsideration Form
  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

Check the status of an appeal in the Q2 Administrators Appeals Status Lookup This link will take you to an external website. tool.
 

Last Updated Nov 10, 2017