Good morning,
Is United Health Care Medicare Advantage required to follow the same appeals process as MAC? In other words, do the utilize the standard MAC, QIC, ALJ process or are they allowed to use their own appeals process that they use for their commercial products? Any links or references will be most helpful.Thank You - shashank32
There is 2024 Medicare C D Appeals Guidance Update (cms.gov)-https://www.cms.gov/medicare/appeals-and-grievances/mmcag/downloads/parts-c-and-d-enrollee-grievances-organization-coverage-determinations-and-appeals-guidance.pdf