Medicare can sometimes feel confusing and frustrating, especially if you disagree with Medicare’s decision to pay a claim or feel they did not pay enough on the claim. Here is a helpful guide for you on the Medicare Appeals Process.
You can first file a first-level appeal with the Medicare contractor that originally processed the claim. For example, if you have Railroad Medicare, your part B claims are processed by Palmetto GBA. Your part A claim, which includes hospital stays or being at a Skilled Nursing Facility or any other facility or claims for medical equipment and supplies, are processed by your local Medicare Administrative Contractors. When you receive your Medicare Summary Notice (MSN), the name and address of the processor are on that notice.