Medicare Claims & Appeals
Claims & Appeals
Click on the links to get all the information you need.
Find out how you can file a complaint (also called a “grievance”) if you have a concern about the quality of care or other services you get from a Medicare provider. Contact your State Health Insurance Assistance Program (SHIP) for local, personalized Medicare counseling.
Get information on how and when to file a claim for your Medicare bills (sometimes called “Medicare billing”). You should only need to file a claim in very rare cases.
Learn about several ways to check the status of a Medicare claim, like MyMedicare.gov, your Medicare Summary Notice (MSN), your Explanation of Benefits (EOB), Medicare’s Blue Button, or by contacting your Medicare Advantage plan or Medicare Prescription Drug Plan.
Learn how to appeal a coverage or payment decision made by Medicare, your Medicare health plan, Medicare Prescription Drug Plan or Medicare Medical Savings Account (MSA) Plan.
Learn how to get a fast appeal for Medicare-covered services you get in a hospital, skilled nursing facility, home health agency, comprehensive outpatient rehabilitation facility, or hospice that are about to stop.
Understand your Medicare options, rights, and protections.
Access forms for permission to share your personal health information, filing an appeal, applying for Medicare, and requesting medical payment.
Access a form so that someone who helps you with your Medicare can get information on your behalf.