MEDICAL REVIEW: How do I request an appeal on a claim reviewed by the Medical Review Department?
You can submit the request in two ways. NGSConnex is the preferred method. You can also request an appeal by mail. If you submit the redetermination via mail, please ensure you complete the redetermination form, located on our Forms page. If you submit via NGSConnex, follow the instructions within the NGSConnex User Guide, Initiate a Search for an Appeal/Reopening Request. Be sure to follow the Levels of Appeals and Time Limits for Filing appeal guidelines.