Liability Modifier Appeal Rights - JE Part B
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 suppliers the option to request clerical adjustments to their claims.
Modifier | Appeal Rights | Reopening Rights |
---|---|---|
GA |
Beneficiary: Yes. Provider: Yes.
|
Provider:
|
GX |
Beneficiary: Yes. Provider: Yes.
|
Provider:
|
GY |
Beneficiary: Yes. Provider: Yes.
|
Provider:
|
GZ |
Beneficiary: Yes.
Provider: Yes.
|
Provider:
|
Last Updated Mon, 24 Oct 2022 14:56:22 +0000