- Tip Sheet for Medicare Providers on First Level of Appeals (Redeterminations)
- Tip Sheet for Medicare Providers on First Level of Appeals (Redeterminations)
- Tip Sheet for Medicare Providers on First Level of Appeals (Redeterminations)
- About Appeals
- About Appeals
- About Appeals
- Reopening versus Redetermination
- Who May File an Appeal
- Who May File an Appeal
- Who May File an Appeal?
- Who May File an Appeal?
- Levels of Appeals and Time Limits for Filing
- What Documents are Needed
- What Documents are Needed
- MSP Overpayments
- Submit an Adjustment to Correct Claims Partially Denied by Automated LCD-NCD Denials
- What Documents are Needed
- Submit an Appeal Electronically with NGSConnex
- Submit an Appeal Electronically via esMD
- Initiate Part B Reopenings or Non-MSP Overpayment Adjustments in NGSConnex
- Submit an Appeal Electronically via esMD
- What Documents are Needed
- Submit an Appeal Electronically via esMD
- Get Help Submitting an Appeal Hard Copy
- Get Help Submitting an Appeal Hard Copy
- Get Help Submitting an Appeal Hard Copy
- Submit an Appeal Electronically with NGSConnex
- Submit an Appeal Electronically via esMD
- Get Help Submitting a Appeal Hard Copy
- How to Prevent Duplicate Appeal and Clerical Error Reopening Requests in NGSConnex
- How to Avoid Costly Appeals
What is NGSConnex?
NGSConnex is a free, secure, web-based application developed by National Government Services just for you! NGSConnex provides access to a wide array of self-service functions that save you time and money, such as:
- Obtain beneficiary eligibility information
- Query for your claim status
- Initiate and check the status of redetermination and reopening requests, regardless of the method of submission
- View your provider demographic information
- Query for your financial data
- Obtain duplicate 1099s
- Submit documents for responses to Additional Documentation Requests
- Submit quarterly Credit Balance Reports
- And more!
Revised 4/29/2024
Helpful Resources
Log Into NGSConnex
Appeals Timeline Calculator
YouTube Video: Holistic Approach to Avoiding Administrative Burden
Form(s) you'll need: