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Re: [IP] Medicare ALJ case

There are 3 steps:
1. The supplier files for payment with the payor for Medicare (in Florida it 

2. If all or any part of the payment is denied you and the supplier get a 
letter to that issue and it tells you what you can do; appeal (called a 
Redetermination) to xxxxx

3. If your appeal (Redetermination)and/or the supplier receive a denial it 
will then tell you that you can file a Reconsideration.

4. if this is filed and results in a denial; next comes the appeal to the 

My supplier has just done this.
All of this is not only time consuming and irritating, but, involves 
documentation. I am so very fortunate that Advanced Diabetes Supply has gone 
the full course for me. Now we wait for the ALJ hearing.

As related to my part in filing; waiting to hear about the Reconsideration 
that was filed for me by my Senator.

----- Original Message ----- 
From: "Beverly P White" <email @ redacted>
To: <email @ redacted>
Sent: Friday, July 01, 2011 10:12 AM
Subject: Re: [IP] Medicare ALJ case

> Sorry I am hoping in the middle here....reconsideration of what? Medicare
> paying for supplies?Bev, mom to Mary, almost 18, dx 1997, pumping 01 and 
> looking
> at Medicare for disability 
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