Top Claim Errors

About Appeals

Levels of Appeals and Time Limits for Filing

Reopenings for Minor Errors and Omissions

CMS Contact

Centers for Medicare & Medicaid ServicesTo offer comments to CMS on the performance of the MAC servicing your state/region, contact CMS at:Jurisdiction 6: OPOLE_IFM_CHIKCGP@cms.hhs.govJurisdiction K: OPOLE_IFM_NY@cms.hhs.gov

Administrative Simplification Compliance Act Waiver Request Form

Advance Beneficiary Notice of Noncoverage (CMS-R-131)

Appointment of Representative Form (CMS-1696)

Clerical Error/Omission Reopening Request Form

CMS -1561 Health Insurance Benefit Agreement