Appeals
Reopening Phone Number
| IL | MI | MN | WI |
|
(877) 867-3418 8:00am to 4:00pm CST M-F |
(877) 674-5416 8:00am to 4:00pm EST M-F |
(866) 380-4744 8:00am to 4:00pm CST M-F |
(877) 674-5354 8:00am to 4:00pm CST M-F |
Redetermination Requests
| IL | MI | MN | WI |
|
WPS Medicare Part B Appeals P.O. Box 4433 Marion, IL 62959 - 0924 |
WPS Medicare Part B Appeals P.O. Box 5533 Marion, IL 62959 - 0965 |
WPS Medicare Part B Appeals 8120 Penn Ave. S., Suite 200 Bloomington, MN 55431 - 1326 |
WPS Medicare Part B Appeals P.O. Box 1268 Madison, WI 53701 - 1268 |
Appeals Information
Medicare allows beneficiaries, providers, and suppliers the right to appeal Medicare coverage and payment decisions. There are five levels of an Appeal.
- Redetermination by a Medicare carrier, fiscal intermediary (FI), or Medicare Administrative Contractor (MAC).
- Reconsideration by a Qualified Independent Contractor (QIC)
- Hearing by an Administrative Law Judge (ALJ) in the Office of Medicare Hearings and Appeals
- Review by the Medicare Appeals Council
- Judicial Review in Federal District Court
To learn more about the appeals process, please select from the links in the left-hand navigation bar.
News & Highlights
Submitting Appeals on C-SNAP
New…Improved…. Streamlined… WPS Medicare (Part B) Appeals Redetermination Form (02/04/09)
Unprocessable Claim Rejections Do Not Have Appeal Rights
Important Links
CMS Appeals Homepage 
CMS Appeals Tri-Fold Brochure
Forms
Page Last Updated: Thursday, 04-Mar-2010 10:56:26 CST
