3/18/2024 0 Comments File extension qic![]() Send a written request containing all of the following information:.The form CMS-20033 (available in “ Downloads" below), or.Instructions for filing a reconsideration request are on the MRN, and can also be found on the website of the Medicare Administrative Contractor (MAC) that issued the redetermination. A list of MAC websites and contact information can be found at: /Medicare/Medicare-Contracting/Medicare-Administrative-Contractors/Who-are-the-MACs#MapsandListsĪ reconsideration request can be filed using either: The redetermination decision is presumed to be received 5 days after the date on the notice unless there is evidence to the contrary.Ī reconsideration must be requested in writing. The redetermination decision can be communicated through a Medicare Redetermination Notice (MRN), a Medicare Summary Notice (MSN), or a Remittance Advice (RA). ![]() The appellant (the individual filing the appeal) has 180 days from the date of receipt of the redetermination decision to file a reconsideration request. A reconsideration is an independent review of the administrative record, including the initial determination and redetermination, by a Qualified Independent Contractor (QIC). Any party to the redetermination that is dissatisfied with the decision may request a reconsideration.
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