Skip to Main Content

Print | Bookmark | Font Size: + |

August 12, 2025

TPE & Appeals Processes

As a reminder, the appeals process is unchanged under the Targeted Probe and Educate (TPE) process.

The time limit for filing a redetermination (first level appeal) request is 120 days from the Remittance Advice receipt date.

Providers under TPE review shouldn’t wait until after the post-probe education session to appeal TPE claim determinations.

Please see 1st Level of Appeal – Redetermination for more information about the appeals process.

spacer

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