Article Detail - JE Part A

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