US · guidance
CMS Pub. 100-06, ch. 6, § 430.8
Completing Lines Twenty-Seven Through Thirty-Four - Denials
Appealed
(Rev. 6, 08-30-02)
B3-13430.8
Line 27 - Pending End of Last Quarter - The CROWD system will automatically enter the value
from line 34 on the previous quarter's report.
Line 28 - Adjustments - If it is necessary to revise the pending figure for the close of the previous
quarter because of inventories taken or reporting errors discovered, the carrier enters the
adjustment here. Adjustments can be positive or negative values. If entering a negative value, it
precedes the number with a minus (-) sign.
Line 29 - Adjusted Opening Pending - The CROWD system will automatically sum the values
on lines 27 and 28.
Line 30 - Appeals Received - The number of appeals of previously denied applications received
during the reporting quarter.
Line 31 - Denials Sustained - The number of appeals processed for which the carrier sustained the
initial denial.
Line 32 - Denials Overturned - The number of appeals processed for which the carrier
overturned the initial denial.
Line 33 - Total Appeals Processed - The CROWD system will automatically sum the values on
lines 31 and 32.
Line 34 - Pending End of Quarter - -The CROWD system will automatically compute the
number of appeals pending at the end of the reporting quarter by adding the value on line 29 to the
value on line 30 and then subtracting the value on line 33.
History
(Rev. 6, 08-30-02)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
9b44a80cdb29551d1cf3fc94306c44b51280455a484938d69e0443d125e6d039
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