Free Medicare Peer Review Letter

This letter is used to allow a Medicare recipient to advise the Peer Review Organization (PRO) about the quality of care received during a hospital stay or to request a review of a written Notice of Noncoverage that Medicare will no longer pay for hospital care.

Use the Medicare Peer Review Letter document if:

You want to request a review of a "Notice of Noncoverage" that you have received.
You want to advise the PRO about the quality of care received.

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