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fold faq I disagree with a Medicare claims decision. How do I request an appeal?

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fold faq I disagree with a Medicare claims decision. How do I request an appeal?

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• Photocopy your Medicare Explanation of Medicare Benefits form. • Write on the Explanation of Benefits (EOB) form, “Please reconsider for payment. My doctor ordered this service. If possible, contact your physician and ask for additional information to submit with the EOB. An example of additional information would be a letter from your physician explaining why the test was ordered.

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