Providers and beneficiaries have the right to appeal claim determinations made by NGS. NGS has 60 days to process and complete your first level of appeal. Submitting duplicate appeal requests, either via paper or through NGSConnex, in an effort to speed up this process causes administrative delays and slows down the processing of your appeal. Please do not submit a duplicate appeal. NGS asks for your patience in waiting up to 60 days for an appeal decision to be made.