J5 MAC Part B Providers serving beneficiaries in Iowa, Kansas, Missouri and Nebraska

Appeals - Part B

Reopening Phone Number

(866) 590-6730
8:00am to 4:00pm CST M-F

Audio/Visual Introduction media

Redetermination Requests

IA KS MO NE
WPS Medicare Part B
Appeals Department
P.O. Box 8550
Madison, WI 53708-8550 		WPS Medicare Part B
Appeals Department
P.O. Box 7238
Madison, WI 53707-7238 		WPS Medicare Part B
Appeals Department
P.O. Box 14260
Madison, WI 53708-0260 		WPS Medicare Part B
Appeals Department
P.O. Box 8667
Madison, WI 53708-8667

Appeals Overview

Medicare allows beneficiaries, providers, and suppliers the right to appeal Medicare coverage and payment decisions. There are five levels of Appeal.

  1. Redetermination by a Medicare carrier, fiscal intermediary (FI), or Medicare Administrative Contractor (MAC).
  2. Reconsideration by a Qualified Independent Contractor (QIC)
  3. Hearing by an Administrative Law Judge (ALJ) in the Office of Medicare Hearings and Appeals
  4. Review by the Medicare Appeals Council
  5. Judicial Review in Federal District Court

Appeals Information


Important Links

CMS Appeals Homepage external link
CMS Appeals Tri-Fold Brochure adobe portable format

 

 

Page Last Updated: Monday, 22-Feb-2010 13:35:55 CST