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This website provides information and news about the Medicare program for health care professionals only. All communication and issues regarding your Medicare benefits are handled directly by Medicare and not through this website. For the most comprehensive experience, we encourage you to visit or call 1-800-MEDICARE. In the event your provider fails to submit your Medicare claim, please view these resources for claim assistance.
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Avoid the wait, submit electronically
First-level appeals status
list item Find the outcome of first-level appeals on SPOT – Online access to first-level appeals outcomes, exclusively on SPOT.
Modified: 10/11/2022
This article provides notification of the 2023 dollar amount in controversy required to sustain appeal rights for a federal district court review.
list item When to file an appeal – Use this calculator to calculate time limits for filing requests for all five levels of appeals.
list item How to appeal a claim – Learn about the five levels of appeals and how to begin the appeals process.
list item Submit your appeal through SPOT – Submit redeterminations (level one appeals) electronically on SPOT.
Locate the necessary forms to appeal claim decisions.
Find the answers to common appeals-related questions.
Appeals contact information
Find phone numbers and addresses for appeals-related inquiries.
Did you receive a demand letter or notice an overpayment? Learn more with the following resources and forms:
more FAQs -- learn more about how to handle overpayments
more Forms -- find the appropriate forms to resolve or dispute overpayments
Redetermination survey
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.
Part B