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QIC Part A East

Effective February 14, 2017, C2C Innovative Solutions, Inc. (C2C) is a Qualified Independent Contractor (QIC) for Medicare Part A for 26 eastern states, Washington D.C. and two U.S. territories. This jurisdiction also includes reconsiderations involving MSP recoveries. The jurisdiction is referred to as QIC Part A East.

QIC Part A East Map

Beginning February 14, 2017, for Part A East expedited reconsideration requests, please call toll free 1-855-371-5817 by no later than noon of the calendar day following the notice by the QIO of its redetermination decision.

Beginning February 14, 2017, for Part A East standard reconsideration requests, please include all of the following items in your request for the reconsideration:

  1. The Medicare beneficiary's name
  2. The Medicare beneficiary's health insurance claim number (HICN) or Medicare number
  3. Specific service(s) and item(s) for which the reconsideration is being requested, and the specific date(s) each of those item(s) or service(s) were provided
  4. The name of the party (appellant) or the name of the authorized representative of the party (appellant). Note: As of July 8, 2019, the signature of the party or the signature of the authorized representative of the party is no longer a requirement for a request for reconsideration.
  5. The name of the Medicare contractor that rendered the Part A claim redetermination (first-level appeal decision)

 

Submit Your Appeal

If you have an EXPEDITED appeal:

Ways to submit your STANDARD appeal:

 

If you have questions about the QIC Parta East appeals process:

 

If an enrollee would like to appoint a person to request an appeal on his or her behalf:

Expedited Appeals:
1-855-371-5817

Secure Electronic Submission of Standard Appeals

For STANDARD appeals only:

You may securely submit your standard appeal by fax or online through our appeals portal.

FAX
904-539-4074

For EXPEDITED appeals:

CALL
1-855-371-5817
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For information about the availability of auxiliary aids and services, please visit: http://www.medicare.gov/about-us/nondiscrimination/nondiscrimination-notice.html.

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