An official website of the United States government
Supporting documentation is required to complete the review of your redetermination request, for any claims for which you didn't select a reason (or have a reason of "Other") on the Redetermination (First Level Appeal) Submission page . The following list of documents may assist in this process:
- Reasons for redetermination
- List of items/services being requested for redetermination
- Medical records
- Office records/progress notes
- Treatment Plan(s)
- Certificate(s) of Medical Necessity
A federal government website managed and paid for by the U.S. Centers for Medicare and Medicaid Services.
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