Liability Modifier Appeal Rights - JE Part A
Liability Modifier Appeal Rights
The below provides clarification on the appeal rights (by party to an appeal) for the following:
- Claim has been submitted and processed with a liability modifier(s) but appellant wishes to remove it/them
- Claim has been submitted and processed without a liability modifier(s) and appellant wishes to add it/them, if applicable
Although Reopenings is not an appeal level, it does offer providers the option to request clerical adjustments to their claims.
Modifier | Appeal Rights |
---|---|
GA | Beneficiary: Yes. Provider: Yes.
|
GX | Beneficiary: Yes. Provider: Yes.
|
GY | Beneficiary: Yes. Provider: Yes.
|
GZ | Beneficiary: Yes. Provider: Yes.
|
Last Updated Mon, 19 Dec 2022 16:14:37 +0000