Arkansas Medicare Services: Contacting Medicare Services

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Provider Home > Local Medical Review Policy >Reconsideration

Reconsideration Process Comment Form

Please review the Medicare Part A Reconsideration Process, and/or the Medicare Part B Reconsideration Process before completing this form. This form can be used by interested parties (i.e., beneficiaries, providers, suppliers) to request a revision to an existing Final LMRP or LCD by written request. Please do not use this form to request Reviews or Fair Hearing, or to send sensitive information such as HIC numbers and SSN numbers. If you wish to request a telephone review or you have questions on a specific claim, please call our Customer Support Staff.

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