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 here. 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 have someone representing you in your appeal, such as an Attorney, you must submit a valid Appointment of Representative (AOR) form along with your appeal form. This form can be found here