Explain in writing why you disagree with the decision or write it on a separate piece of paper, along with your Medicare number, and attach it to the MSN.Circle the item(s) and/or services you disagree with on the MSN.You must send your request for redetermination to the company that handles claims for Medicare (their address is listed in the 'Appeals Information' section of the MSN). Follow the instructions for sending an appeal.Fill out a ' Redetermination Request Form ' and send it to the Medicare contractor at the address listed on the MSN.

Claims will generally be available within 24 hours after processing. You can also log into your secure Medicare account to track your Medicare claims or sign up for electronic MSNs to view or download them anytime. You'll get a MSN in the mail every 3 months, and you must file your appeal within 120 days of the date you get the MSN. The MSN contains information about your appeal rights. If you disagree with a Medicare coverage or payment decision, you can appeal the decision. The MSN also shows if Medicare has fully or partially denied your medical claim (this is the initial determination, which is made by the company that handles bills for Medicare). It shows all your services and supplies that providers and suppliers billed to Medicare during a 3-month period, what Medicare paid, and what you may owe the provider. If you want to file an appeal, start by looking at your ' Medicare Summary Notice' (MSN).

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