Submitting Reconsideration Requests – QIC Second Level of Appeal
A Reconsideration is the second level of the Medicare Appeals Process. All requests should be submitted within 180 days of the receipt of the Medicare Redetermination Notice (MRN).
To request a Reconsideration, follow the instructions on the MRN. You may use the Reconsideration form included with the MRN decision from your first level of appeal, or one of the Reconsideration Request Forms below.
Complete the form in its entirety and send to:
Attn: C2C Innovative Solutions, Inc.
QIC Part B North
P.O. Box 45208
Jacksonville, FL 32232-5208
For more information on the QIC (C2C) Second Level Reconsideration process, please refer to Medicare Parts A & B Appeals Process booklet.

