Appeal Case Search

  1. Enter the Appeal Number or Plan Contract Number
  2. Select Date type to search
  3. Enter Start Date and End Date
  4. Click the Search button
Example: 1-123456789

- Or -

Example: H9999
IRE Request Received Date or IRE Decision Date

Important note: Data is refreshed on daily basis between 8 am and 10 am EST. During this time period you may get partial search results while the data refresh is loading

Definitions:

Case Number - The number assigned by the Medicare Appeal System (MAS) to the Level 2, or Level 3 appeal.
IRE Request Received Date - The date the Reconsideration was received at the IRE.
IRE Appeal Priority - The priority determined by the IRE which determines appeal processing timeframes (Expedited, Pre-Service, Retrospective).
Plan Reported Recon Receipt Date - The date reported by the plan on the Reconsideration Background Data form, that the Plan received the request for a Reconsideration.
IRE Corrected Recon Receipt Date - The date the IRE determines is the correct date that the request for a Reconsideration was received by the plan. No date will appear if the IRE verifies the Plan Reported Recon Receipt Date.
Plan Extension (Y/N) - Indicates if the plan allowed an extension of the Reconsideration timeframe, as reported to the IRE on the Reconsideration Background Data Form.
IRE Recon Decision - The decision made by the IRE on Reconsideration at Level 2.
IRE Reopen Decision - If a reopening occurs at the IRE, the decision made by the IRE on Reopening.
ALJ Decision - If an ALJ appeal occurs, the decision made by the ALJ.
Last Decision Date - The date of the most recent decision made by the IRE or ALJ.
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