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Governmenthigh confidence

Novitas Solutions, Inc. fax number

(888) 541-3829

Appeals Department (Part B Redetermination)

Used for: Part B redetermination requests and related claims corrections; fax submissions to 1-888-541-3829; appeals status inquiries

Fax destination details

Department
Appeals Department (Part B Redetermination)
Purpose
Part B redetermination requests and related claims corrections; fax submissions to 1-888-541-3829; appeals status inquiries
Form
Part B Redetermination Form — Part B Redetermination Request Form
Address
4800 DEERWOOD CAMPUS PKWY, DCC 400-1, JACKSONVILLE, FL 32246-6498

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.

Complete and print the online redetermination request form, use it as a fax cover sheet, sign the request, and include the claim number. For each claim, limit to 1 request and do not exceed 200 pages. Fax to 1-888-541-3829.

Official form instructions are published as a downloadable file on the organization's website.

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