Effectuation Case Search

  1. Enter the Appeal Number or Plan Contract Number
  2. Select Date type to search
  3. Enter Start Date and End Date
  4. Click the Search button
Example: 1-123456789

- Or -

Example: H9999
Decision Date, Compliance Notice Receipt Date, Date Effectuated

Important note: Data is refreshed once daily between 8:00 am and 10:00 am EST. During this time period you may get partial search results while the data refresh is loading. Results will only reflect data entered during normal operating hours from the previous business day. Additional delays in updated data availability may occur at least once monthly due to source system patching, or in the event of an unplanned outage. For optimal results, please allow at least one full business day for complete data refresh.

Definitions:

Case Number - The number assigned by the Medicare Appeal System (MAS) to the Level 2, or Level 3 appeal.
Proceeding Type - Indicates if the appeal is a Level 2 Reconsideration, Reopening, or ALJ.
Decision Date - The date the IRE or ALJ rendered its decision.
Decision - Indicates the type of Decision made by the IRE or ALJ.
Compliance Notice Receipt Date - The date the IRE receives notice from the plan indicating they have effectuated the appeal.
Date Effectuated - The date indicated by the plan that they have approved/paid for the item/service at issue in the appeal.
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