You will have appeals steps to follow that include:

1. Level One – Redetermination
   Time Limit for Filing a Redetermination is 120 days from date of receipt of the initial determination notice and no minimum of amount in controversy.
2. Level Two – Reconsideration (QIC)
   Time Limit for Filing a Reconsideration is 180 days from date of receipt of the redetermination decision and no minimum of amount in controversy.
3. Level Three – Administrative Law Judge (ALJ)
   Time Limit for Filing an ALJ - 60 days from the date of receipt of the reconsideration (QIC decision) and the amount in controversy for 2023 and 2024 requests filed is $180.
4. Level Four – Medicare Appeals Council (MAC)
   Time Limit for Filing with the Medicare Appeals Council is 60 days from date of receipt of the ALJ decision and no minimum of amount in controversy.
5. Level Five – Federal Court Review
   Time Limit for Filing for a Federal Court Review is 60 days from date of receipt of the MAC decision. For calendar year 2024, the amount in controversy is $1,840. For calendar year 2023, the amount in controversy was $1,850.