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Last Modified: 5/28/2019 Location: FL, PR, USVI Business: Part A, Part B

Amount in controversy (AIC) FAQ

Q: What does the term "amount in controversy" mean?
A: The amount in controversy (AIC) is the minimum threshold amount in dispute you must have in order to request the administrative law judge (ALJ) and judicial review levels in the appeal process. Click here external link for the current AIC for the ALJ level; click here external link for the current AIC for the Federal judicial review.
Source: Centers for Medicare & Medicaid Services (CMS) internet-only manuals (IOM), Publication 100-04, Chapter 29 external pdf file
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First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.