Appeals Process

When billing privileges have been denied or revoked, the applicant/supplier has two options available to contest the determination. The applicant/supplier may in most instances submit a Corrective Action Plan (CAP) or submit a request for reconsideration. When submitting your request, please keep in mind the following:

• The applicant/supplier must submit a CAP within 35 days from the postmark of the denial or revocation letter
• The request for reconsideration must be made within 65 days from the postmark of the denial or revocation letter
• The request must have the signature of the authorized official, owner or partner listed on the supplier's enrollment  

Suppliers should follow the instructions provided in the denial or revocation letter on how to submit an appeal. Effective October 9, 2023, all CAPs and reconsiderations are processed by Chags Health Information Technology LLC (C-HIT). Please contact C-HIT with any questions and to submit appeal documentation.

Customer Service: 800-245-9206

Fax:- 866-410-7404

Email: PEARC@c-hit.com

Mailing Address: P.O. Box 45266, Jacksonville, FL  32232

Note: According to Pub 100-8, Chapter 10, Section 10.6.18 a provider or supplier denied enrollment in the Medicare program or whose billing privileges have been revoked cannot submit a new enrollment application until the following has occurred:

• If the denial was not appealed, the provider or supplier may reapply after its appeal rights have lapsed
• If the denial was appealed, the provider or supplier may reapply after it has received notification the determination was upheld
• If the denial or revocation is not overturned and all appeal options are exhausted, the supplier must wait until the expiration of the enrollment/reenrollment bar

CAP Reconsideration Form April 2022 (PDF)