Claim Back

Calendar arithmetic for Medicare Advantage appeal deadlines. Give notice_date (the date printed on the plan’s denial notice) for the plan reconsideration deadline: 65 days from that date (the rule is 60 days from receipt, presumed 5 days after the date). Or give care_end_date (the date covered skilled nursing, home health or outpatient rehab care ends, on the Notice of Medicare Non-Coverage), and notice_delivered_date (the day that notice was handed over) if known, for the fast appeal: by noon of the day after delivery; without the delivery date, noon the day before the end date, which holds only for a notice that came two days ahead. The notice’s own instructions come first.

How Claim Back helps with a Medicare Advantage appeal, and what it costs: a free check of the denial letter, then two fixed-price services (we handle it for you, paid only if the decision is reversed; or we prepare it and you send it). It also says what Claim Back offers for a long-term care insurance claim denial. Returns the link where the user uploads their letter. Use it when the user wants help with an appeal or asks about Claim Back.

Lists Claim Back’s guides (US), each with its slug, title, one-line summary and link. Medicare Advantage: how to appeal and who can ask, the appeal deadline, a prior authorization denial, the fast appeal when care is ending, care ended or denied because the patient stopped improving (the maintenance standard), and the independent review. Long-term care insurance: what to do after a denial, and the independent review of benefit-trigger denials state by state. Use it to find the guide that answers the user’s question, then read_guide.

Returns one guide in full as Markdown, with its sources (federal and state regulations, Medicare.gov, CMS and state insurance departments). Use it to answer questions about Medicare Advantage appeals and long-term care insurance claim denials accurately, and link the guide in the answer.