US · guidance
CMS Pub. 100-04, ch. 34, § 10.6
Timeframes to Reopen Claim Determinations
Our regulations establish timeframes that restrict the ability of the contractor to reopen
claim determinations. See 42 CFR 405.980(b) and (c) for the timeframes for reopenings.
The specific timeframes for contractor-initiated and party-requested reopenings are
detailed below.
History
(Rev. 3568, Issued: 07-29-16, Effective: 09-30-16, Implementation: 09-30-16)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
b1b7cbb42869d7b4997a6a90411b60931cb4ab9979ca1c03ef9d3652f2e70740
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