Palmetto GBA
^ Back to Top
Close Window [x]
  • Entire Site
  • J1 Part A
  • J1 Part B
  • J11 HHH
  • J11 Part A
  • J11 Part B
  • NSC
  • Railroad
+
SubHomeHeader J1 Transition

MolDX

Stay Connected
Keep up with the latest information about Palmetto GBA by taking advantage of the Internet's connectivity.
 

Bookmark E-mail Print Digg It! Tweet FB Like Show/Hide Google+ line
Standard Font Serif Font Decrease Font Size Increase Font Size
permaLink

Jurisdiction 1 Part B
Appeals

Access information regarding your appeal rights on the Palmetto GBA Appeals page:

  • Avoid future appeals by submitting claims accurately: use the Denial Resolution tool
  • Some denials can be adjusted via telephone reopening, please call 866-669-5543 
  • Appeals forms are located on this page. You may complete the forms electronically then print and sign the forms, attach supporting documentation, and mail to the address on the form.
  • First level of appeal: redetermination. Time frame: 120 days from the date of the initial determination. Services that are 'rejected as unprocessable' with remark code MA130 must be corrected and resubmitted, and not appealed.
  • Second level of appeal: reconsideration. Time frame: 180 days from receipt of Redetermination (see above). Submit this form to the Qualified Independent Contractor (address is located on form).

Fax number for J1 Part B redetermination requests: (803) 462-3914

You may also mail redetermination requests to:
Palmetto GBA Part B - J1 MAC
P.O. Box 1252
Augusta, GA 30903-1252


Search this Area Search this Area
General Appeals Information06/10/2013
How can I check the status of my Appeal request submitted through OPS?06/04/2013
Second Level of Appeal: Reconsideration Request Form05/20/2013
Claim Reopenings Web Based TrainingOpen in New Window05/16/2013
Calendar Year 2013 Update: Amount in Controversy Requirements for Administrative Law Judge (ALJ) and Federal District Court Appeals05/10/2013
Prevent Duplicate Appeal Requests02/15/2013
Instead of a Written Redetermination: Consider Having Your Claim Reopened11/12/2012
Telephone Claim Correction Checklist11/12/2012
Redetermination Time Limit: Reminder11/09/2012
Redetermination Status Tool Now Available Online10/18/2012
Telephone Reopening Tips04/26/2012
Appeal Rights: Know the Rules03/08/2012
Appeals Tip of the Month: Avoid Processing Delays and Send the Overpayment Demand Letter With Your Appeal Request01/19/2012
Redetermination Requests Submitted via Fax01/01/2012
Medicare Appeals: The Importance of Getting It to the Right Place at the Right Time12/31/2011
Redeterminations: What information should I send with the request?09/21/2011

 

last updated on 6/01/2013
ver 1.0.42