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.

INDUSTRY NEWS TAGS: Noridian Healthcare Solutions, Mac JF Arizona, Mac JF Alaska, Mac JF Idaho, Mac JF Oregon, Mac JF Montana, Mac JF North Dakota, Mac JF South Dakota, Mac JF Utah, Mac JF Washington, Mac JF Wyoming, MAC JE California, MAC JE Nevada, MAC JE Hawaii

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