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The Defense Submission Confirmation page confirms that you have successfully submitted defense documentation for the defense type associated with the listed case ID.
This page lists the Commercial Repayment Center (CRC) mailing address and fax number and details for claim/claim lines and documents submitted with the defense request. You can use this page to view all claims/lines selected for a defense during the defense submission process, including the following data:
- Claim Control Number
The first eight characters are masked with an asterisk if you are not logged in using multi-factor authentication (MFA). - Claim Line Number ("0" is used for Part A claims)
- First Date of Service
Displays for MFA users only. - Last Date of Service
Displays for MFA users only. - Billed Amount
- Medicare Paid Amount
Note: If you need to submit any additional documentation for this defense after it has been submitted, you may do so by using the Submit Documentation button on the Case Information page or by mailing or faxing the information to the CRC using the listed contact information.
Click Continue to return to the Case Information page.
July 2023
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