If your Medicare claim is denied, appeal -- and keep appealing until you get the care you need.

If Medicare denies your claim, you have 120 days to request a "redetermination" of the decision. It is up to you to explain why Medicare should cover the claim and to include evidence.

If your Medicare appeal is denied, you have the right to file up to four more appeals. It is worth fighting because your odds of success improve each time. 

Before appealing, call your doctor's office and confirm that the correct code was used for the service about which the claim was submitted. Miscoding can be a reason for denial of a claim. If there was an error, contact the claim denier.

Assistance is available to help with an appeal.

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