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Our Experience Runs Deep

3
million appeals
processed
27
years as an appeals contractor
72
experts in 72 types/categories of appeals
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What Maximus Federal Services Can Do For You

Maximus Federal Services is a Qualified Independent Contractor (QIC) for Medicare. For information on how to file a reconsideration, please visit each jurisdiction.

The Centers for Medicare and Medicaid Services (CMS), selected Maximus Federal Services as the Part A and DME Qualified Independent Contractor (QIC) for second level independent external reviews of Medicare fee for service healthcare denials and as the national Independent Review Entity for external reviews of Medicare managed care denials.

Our QIC Appeals Portal Makes Filing Easy

MAXIMUS Federal offers a 24-hour secure, CMS compliant web portal for electronic submission of appeal requests. Many Provider organizations and health plans are currently using the QIC Appeals Portal, and Providers/Suppliers or plans who are interested can begin using it immediately.

Please see the links below to the QIC Appeals Portal website and User Guide, which will provide detailed instructions on how to register with the QIC Appeals Portal and submit case files to MAXIMUS Federal.

QIC Appeals Portal

QIC Appeals Portal User Guide

Some of the benefits of the Maximus Federal Services QIC Appeals Portal are:

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Secure login and submission
(permits plans to securely transmit appeals and supporting documents)
confirmation
Immediate confirmation of submission
(including a confirmation number)
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Ability to upload and submit files electronically
(eliminating mailing and shipping costs)
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Online appeal request submission forms
(eliminating paper forms)
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Who is Maximus Federal Services?

Since 1975, Maximus has operated under its founding mission of Helping Government Serve the People®, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. Maximus delivers innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability, and efficiency of government-sponsored programs. With more than 35,000 employees worldwide, Maximus is a proud partner to government agencies in the United States, Australia, Canada, Italy, Saudi Arabia, Singapore, South Korea, Sweden, and the United Kingdom. For more information, visit maximus.com.

Maximus Federal Services is a group of experts on appeals. Medicare hired Maximus Federal Services to look at denied appeals and decide if the health plan made the right decision and to perform reconsiderations of appealed Part A and DME redeterminations made by a Medicare Administrative Contractor. Maximus Federal Services works for Medicare. Maximus Federal Services does not work for the Medicare health plans. Our job is to conduct fair and independent reviews.

Our full-time employees include physicians, attorneys, nurses, therapists, public health experts, and certified coders. We are also supported by a large and distinguished panel of physicians and practitioner consultants in every medical specialty area.

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