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 Home     December 22, 2014  

Welcome to C2C Solutions, Inc.

People in Meeting ISO CertificationC2C Solutions, Inc. (C2C) has a heritage of service to the Medicare program. Currently, C2C is successfully executing three high-volume appeals contracts for the Centers for Medicare & Medicaid Services (CMS): the Qualified Independent Contractor (QIC) Part B North, QIC Durable Medical Equipment (DME) and QIC Payment Dispute Resolution Contractor (PDRC) task orders. In 2005, we helped CMS establish the new second-level appeal process and with the award of the QIC Part A West task order, we became the first operational QIC contractor.
For over nine years we have provided second-level adjudication services of Medicare claim determinations. Two of C2C’s task orders are nationwide, and two QIC task order jurisdictions cover 35 states, Washington DC, and three U.S. territories.  We have earned six CMS Excellence Awards for this work over the last nine years.

As a QIC, C2C has vast experience in managing the second-level appeals and dispute processes from case receipt to final disposition.

URAC Accredited CareContact Us
For corporate business opportunities, please contact:
C2C Solutions, Inc.
PO Box 44013
Jacksonville, Florida, 32231
Phone: 904-224-7396

For information about contacting the specific QIC operational units, please visit the respective pages: QIC Part B North, QIC Part B South, QIC DME, QIC PDRC.

Please note: effective August 19, 2013, our new physical address is 301 W. Bay Street, 6th Floor, Jacksonville, FL 32202



Quality Focused

C2C is ISO 9001:2008 certified.  C2C has an extensive quality assurance and improvement process. C2C and its leadership have a long tradition of achieving the highest quality standards for all aspects of work performed. Our comprehensive quality program, referred to as the Quality Management System (QMS), includes documented work processes and instructions. C2C’s QMS program promotes quality at all levels and is solidly built upon C2C’s corporate values of doing “the right things, the right way.”

In addition to ISO registration, C2C has been awarded URAC accreditation for its core services.

What is a QIC?

The Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 included provisions aimed at improving the Medicare appeals process. Part of these provisions mandate that an independent contractor, known as a Qualified Independent Contractor (QIC), will perform second level appeals known as reconsiderations. QIC contractors render timely and accurate decisions on regular reconsiderations and use a panel review process for medical necessity denials.

     
 
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