Medicare second-level QIC reconsideration filing window

For a provider billing researcher who already has an Original Medicare first-level redetermination decision. A reconsideration is a separate review by a Qualified Independent Contractor (QIC).

Confirm the decision and appeal level

Provider/physician/supplier party to an Original Medicare first-level redetermination who seeks a second-level reconsideration. Not an initial claim denial, PA non-affirmation, Medicare Advantage or Part D process, minor-error reopening, dismissal challenge, or determination of overpayment recoupment protections.

Source verification required. The filing window and submission guidance are withheld because current source evidence is unavailable, changed or expired.

Official CMS source — Requesting a Reconsideration — receipt-based filing window and written request instructions · checked 2026-10-15

Source does not establish a universal effective date; current guidance checked, not historical reconstruction

Use the correct next step

For a MAC dismissal, compare the separate QIC-review and MAC-vacatur paths.

If you have only the initial claim determination, check the separate first-level redetermination window.

Request QIC vacatur of its own dismissal. A QIC dismissal has its own review/vacatur paths; this receipt-based reconsideration entry does not establish their deadlines. Overpayment recoupment protections also require a separate analysis.

Prepare and save a provider QIC checklist · QIC fax and portal source references · Source-checked provider appeal directory · RSNAT administrative research workspace