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CFR > Title 42 - Public Health > CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES > SUBCHAPTER B—MEDICARE PROGRAM (parts 405 to 426) > PART 405—FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED > SUBPART H—Appeals Under the Medicare Part B Program (§405.801 to §405.877) > 405.807—Request for review of initial determination.

CFR

405.807—Request for review of initial determination.

(a) General. A party to an initial determination by a carrier, that is dissatisfied with the initial determination and wants to appeal the matter, may request that the carrier review the determination. The request for review by the party to an initial determination must clearly indicate that he or she is dissatisfied with the initial determination and wants to appeal the matter. The request for review does not constitute a waiver of the party's right to a hearing (under § 405.815) after the review.
(b) Place and method of filing a request. A request by a party for a carrier to review the initial determination may be made in one of the following ways:
(1) In writing and filed at an office of the carrier, SSA, or CMS.
(2) By telephone to the telephone number designated by the carrier as the appropriate number for the receipt of requests for review.
(c) Time of filing request. (1) The carrier must provide a period of 6 months after the date of the notice of the initial determination within which the party to the initial determination may request a review.
(2) The carrier may, upon request by the party, extend the period for requesting the review of the initial determination.
[64 FR 52670, Sept. 30, 1999]
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