Last Modified: 6/1/2017
Location: FL, PR, USVI
Business: Part A, Part B
ADR by fax FAQ
Q. May I submit medical documentation in response to an additional documentation request letter (ADR) letter via fax?
A. Yes.
Use the following fax coversheets to submit the documentation for prepay claims ADRs:
Use the following fax coversheets when replying to a post-payment probe review documentation request:
The fax numbers to use are provided on the appropriate form. Be sure to select the correct form and fax number based on your line of business (Part A or Part B) and your location (Florida, Puerto Rico, or the U.S. Virgin Islands.
For reference, the forms are also located on the Medical Documentation page under "Additional documentation request (ADR) fax coversheet."
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