Medicare Appeals: Contact Information

National Medicare Helpline

1.800.MEDICARE (1.800.633.4227), TTY/DD 1.877.486.2048

CFMC Medicare Beneficiary Helpline

1.800.727.7086 or 303.695.3333

Jean King, RN, BSHA, Manager Review Services, 303.695.3300 ext 3098

Monica Brisse, Lead RN Review Coordinator, 303.695.3300 ext 3313

CFMC Fax

303.695.3383

Government Information links for Providers and Beneficiaries

Appointment of Representative Form

www.cms.gov/cmsforms/downloads/cms1696.pdf

Medicare health plan Appeals

www.cms.gov/MMCAG/

Medicare Fee For Service (BIPA) Appeal forms

www.cms.gov/BNI/06_FFSEDNotices.asp

Hospital Discharge Appeal Notices

www.cms.gov/BNI/12_HospitalDischargeAppealNotices.asp

Colorado Foundation for Medical Care (CFMC), the Medicare quality improvement organization for Colorado, prepared this material under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents do not necessarily reflect CMS Policy.