Important Information Regarding your Medicare Appeal

Please remember: when you call IPRO to appeal a Notice of Medicare Provider Non-Coverage (given to you or your representative by a Home Health Agency, Comprehensive Outpatient Rehabilitation Facility, Skilled Nursing Facility or Hospice), we will ask you to provide the following information:

• the Beneficiary's Name
• the Beneficiary's Medicare Number
• the Beneficiary's Address
• the Beneficiary's Date of Birth
• the Date on the Notice
• the Telephone Number, including area code, where IPRO can contact you
• the Name of the Skilled Nursing Facility, Home Health Agency, Comprehensive Outpatient Rehabilitation Facility or Hospice
• the Telephone Number of the Skilled Nursing Facility, Home Health Agency, Comprehensive Outpatient Rehabilitation Facility or Hospice

Please have this information available when you call.