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Redetermination
Medicare Claims Processing Manual (Pub 100-04 Ch. 29 §310) 
A "Redetermination" is the first level of appeal, which is an independent, re-examination of the claim and its supporting documentation by Medicare staff who were not involved in the initial claim decision.
Refer to the topics below for information about submitting a redetermination.
- How to Request A Redetermination
- Time Limit for Submitting a Redetermination Requests
- Documentation for Redetermination
- Liability When Medical Records are Requested
- Verifying Receipt of the Redetermination Request
- Notice of Redetermination Decision
- Written Assurance Letters
Page last updated: May 5, 2008
