The Palmetto GBA Jurisdiction J Provider Contact Center (PCC) will be closed Monday, May 26, 2025, in observance of the Memorial Day holiday. Please note the webchat feature will be unavailable on this date. However, during this closure, providers can use Sage, Palmetto GBA's chat self-service tool.

Appeal Process

Published 09/29/2023

The Review Choice Demonstration (RCD) does not include a separate appeal process. A non-affirmation decision is not appealable. As a reminder, a non-affirmed pre-claim review decision does not prevent the Inpatient Rehabilitation Facility (IRF) RCD provider from submitting a final claim. A submission of a final claim with a non-affirmed unique tracking number (UTN) and resulting denial by Palmetto GBA would constitute an initial determination on the claim that would make the appeals process available.


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