Welcome to C2C Innovative Solutions, Inc.

C2C fosters an organizational culture that embraces honesty, integrity and respect. We perform our duties with our corporate values in mind: "Integrity, Quality and Value with PRIDE (Passion for our customers, Responsibility to seek innovative solutions, Initiative to make things better, Discipline to strive for excellence and Enthusiasm for the future)."

We have assembled a workforce inspired by a common purpose, of upholding our quality values of “Integrity, Quality & Value driving Continuous Improvement.” Our culture generates our drive to deliver exceptional customer service and commitment to upholding the highest quality standards. Our team members have in-depth knowledge of health insurance plans including, but not limited to, traditional fee-for-service (FFS) Medicare, Medicare Advantage (Part C) and Medicare Prescription Drug Coverage (Part D) and vast experience managing second level appeals from case receipt to final disposition.

For Secure Electronic Submission of Standard Appeals

Access FAQs on these Electronic Options for Submitting Standard Medicare Fee-For-Service (FFS) Second-Level Appeals-Reconsiderations.

For Standard appeals only:

You may fax your appeal to the number listed in the Contact Us Section of each respective page (QIC Part B North, QIC Part B South, QIC Part A East, or Part D QIC) OR
You may also submit your appeal and documentation to our appeals portal (Access a User's Guide.)

For Part A East expedited appeals of service terminations, please call the toll free number on the QIC Part A East tab.

For Part D expedited appeals of drug coverage, please fax to the designated fax number on the Part D Enrollees tab.

Contact Us

For corporate business opportunities, please contact:
C2C Innovative Solutions, Inc.
PO Box 45309
Jacksonville, Florida, 32232-5309

For information about contacting the specific QIC operational units, please visit the respective pages: QIC Part B North, QIC Part B South, QIC Part A East, Appeals Demonstration, or Part D QIC.

Quality Focused

C2C is ISO 9001:2015 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 "Integrity, Quality & Value driving Continuous Improvement.”

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 reconsiderations and use a panel review process for medical necessity denials.

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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SAI Global Standards Mark and a link to the C2C Certificate of Registration