The Five Appeals Levels of Original Medicare

Create a level-by-level file

Original Medicare appeals can move from an initial contractor review into later independent and administrative levels. Keep each notice and response in chronological order.

The goal is to make the next reviewer understand what was denied, why it was disputed, and what evidence supports the appeal.

Preserve deadlines and decisions

Every level should have a decision date, appeal deadline, submission method, and copy of the material sent.

If the matter escalates, those dates and documents become the map for the next step.

• Original denial or Medicare Summary Notice.
• Appeal request and supporting records.
• Decision letters from each level.
• Proof of submission when available.