BILLING NEWS

Redetermination Requests Which Contain Multiple ICNs

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.


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