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July 16, 2024

Faxed Appeals

Providers, or organizations acting on a provider’s behalf, are submitting redetermination (first level appeal) requests to fax numbers assigned to other departments (e.g., Customer Service, Claims, Medical Review, etc.).

Please note: J15 Appeals does not accept faxed requests. As a result, if you fax a redetermination request, CGS will not process your appeal.

J15 Appeals will accept redetermination requests submitted via the following methods:

If you choose to submit your request via esMD or mail, please complete and submit the appropriate redetermination request form:

Additional information:

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