Skip to Main Content

Print | Bookmark | Email | Font Size: + |

Helpful Tips

  • Always submit the Appeal form as the top document in the appeal submission for faster processing.
  • Appellants have the opportunity to submit any and all supporting documentation with their appeal. Legal briefs can be submitted, but are not necessary for the appeal review and do not increase the likelihood of a favorable outcome.
  • If filing a single appeal with multiple beneficiaries for Part A and HHH, utilize the form found herePDF. This will aid in the review process. If appealing a UPIC decision, the UPIC notification letter is not the best practice to submit as the list of claims being appealed.
  • As of July 8, 2019, CMS no longer requires a signature on an appeal form.
  • CGS has 60 days to process an appeal. CGS typically completes the appeal review within 30 business days.
  • If you are a Provider, you can sign up to receive your redetermination notices via the Portal. The notices are available in the portal the same day.
  • If you have someone representing you in your appeal, such as an Attorney, you must submit a valid Appointment of Representative (AOR) formExternal Website

spacer

26 Century Blvd Ste ST610, Nashville, TN 37214-3685 © CGS Administrators, LLC. All Rights Reserved