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[Music] welcome to the national government services provider outdocHub and education video on the appeals process this video is specific to the appeals processes as designed by the Centers for Medicare and Medicaid Services and is specific to national government services in the jurisdictions within its Medicare contract during this short presentation we hope to provide clarification of the different levels of appeal deliver clear instructions regarding how to appeal denied claims offer information regarding timely filing regulations and provide references and resources for all levels of Appeal lets get started and discuss reopening a reopening is also referred to as pre redetermination a reopening is not an appeal but a request to reopen a claim reopening czar not processed through the appeals department and only occur at the discretion of the Medicare administrative contractor or the Mac if a contractor refuses to reopen a claim for a minor error that decision is not appealable a reo