Billing Beat

Redetermination Requests Which Contain Multiple ICNs

July 28, 2017

When submitting a Redetermination request that contains multiple Internal Control Numbers (ICNs), include the following to ensure proper review and prompt response. Attach a spreadsheet. If submitting multiple spreadsheets, include page numbers. It/they must contain specific beneficiary appeal documentation. Separate each beneficiary documentation with a spacer page. Include documentation relevant to the request only.

Source: https://med.noridianmedicare.com/web/jeb/article-detail/-/view/10542/redetermination-requests-which-contain-multiple-icns

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