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For information on how to request correction of minor errors and omissions, see the Medicare Learning Network (MLN) Matters Reopening article in the " Downloads" section below, or refer to the Medicare Claims Processing Manual IOM 100-4 Chapter 34 Reopening and Revision of Claim Determinations and Decisions (PDF). Note: MACs do not process claim corrections involving minor errors and omissions through the appeals process.
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The contact information for each MAC can be found using the following link: /Medicare/Medicare-Contracting/Medicare-Administrative-Contractors/Who-are-the-MACs#MapsandLists. Most MACs allow electronic submission of appeals through their website. Check the MAC website for more information on how to file appeals. The redetermination request must be sent to the MAC that made the initial claim determination (this information is on the MSN and the RA).
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A minimum monetary threshold on the claim is not required to request a redetermination. The appellant should include with their redetermination request any and all documentation that supports their argument against the previous decision.
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Any party to the initial claim determination that is dissatisfied with the decision may request a redetermination.