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C2C Innovative Solutions, Inc. fax number

(904) 539-4078

QIC Part C

Used for: Fax submissions for Medicare Part C QIC reconsiderations (transmittal/cover sheets and supporting documents) to C2C. Specific fax lines for submission include: Expedited Appeals 904-539-4075, Standard Part B Drug Appeal 904-539-4076, All Other Appeal Types 904-539-4078. Portals and mailing options are also available.

Fax destination details

Department
QIC Part C
Purpose
Fax submissions for Medicare Part C QIC reconsiderations (transmittal/cover sheets and supporting documents) to C2C. Specific fax lines for submission include: Expedited Appeals 904-539-4075, Standard Part B Drug Appeal 904-539-4076, All Other Appeal Types 904-539-4078. Portals and mailing options are also available.
Address
P.O. Box 1949, Jacksonville, FL 32231-0053
Voice phone
866-439-0863

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Submit the required reconsideration materials using the designated transmittal forms and cover sheets. Submissions can be made via portal, fax, or mail as per the Reconsiderations Manual.

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