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Governmenthigh confidence

National Government Services, Inc. fax number

(315) 442-4234

J6 Part B / JK Part B

Used for: Medicare Part B reconsideration/appeals submissions (Appeal Coversheet)

Fax destination details

Department
J6 Part B / JK Part B
Purpose
Medicare Part B reconsideration/appeals submissions (Appeal Coversheet)
Form
Appeal coversheet — Appeal Coversheet
Address
8115 Knue Road, Indianapolis, IN 46250, USA
Voice phone
866-837-0241

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Submit the Appeal Coversheet with the CAP or reconsideration letter signed and dated, plus all supporting documentation; you may mail or fax to the NGS Part B addresses. The coversheet instructions specify sending to J6 Part B or JK Part B channels.

Review official form instructions

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