Hassle-Free Health Coverage: Appealing Your Claim
If your Medicare claims are denied, you are probably going to want to appeal your claim.
Within six months of receiving the Explanation of Medicare Benefits notice, you must file a written request for review. The administrator will check for miscalculations or other clerical errors. If the administrator declines to make a change, an appeal can be made to the Social Security office (but only if the amount disputed is $100 or more).
You must appear in person to attend a hearing and present evidence, such as a doctor's letter, to support your point. A written notice of the decision will be sent to you after the hearing.
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