Externalappeal.cms.gov

HHS-Administered Federal External Review Request Form

WEBQuestions? Call 1-888-866-6205 Monday – Friday 8:00am – 5:00pm EST In most cases, you must complete the mandatory internal appeal offered by your health

Actived: 7 days ago

URL: https://externalappeal.cms.gov/ferpportal/public/docs/ExtReviewReqInfoForm_20220504.pdf

HHS-Administered Federal External Review Request Form

WEBFax this form to 1-888-866-6190 OR Mail this form to: HHS Federal External Review Request, MAXIMUS Federal Services, 3750 Monroe Avenue, Suite 705, Pittsford,

Category:  Health Go Health

HHS Federal External Review Process Appointment of

WEBQuestions? Call 1-888-866-6205 Monday – Friday 8:00am – 5:00pm EST HHS Federal External Review Process Appointment of Representative Form Please return this signed …

Category:  Health Go Health