---
kind: "section"
citation: "42 C.F.R. § 405.964"
title: "42"
number: "405.964"
heading: "Place and method of filing a request for a reconsideration."
url: "https://uscodex.org/cfr/42/405.964"
---

# §405.964. Place and method of filing a request for a reconsideration.

- (a) **Filing location.** The request for reconsideration must be filed with the QIC indicated on the notice of redetermination.
- (b) **Content of reconsideration request.** The request for reconsideration must be in writing and should be made on a standard CMS form. A written request that is not made on a standard CMS form is accepted if it contains the same required elements, as follows:
  - (1) The beneficiary's name;
  - (2) Medicare number;
  - (3) Specific service(s) and item(s) for which the reconsideration is requested and the specific date(s) of service;
  - (4) The name of the party or the representative of the party; and
  - (5) **The name of the contractor that made the redetermination.**
- (c) **Requests for reconsideration by more than one party.** If more than one party timely files a request for reconsideration on the same claim before a reconsideration is made on the first timely filed request, the QIC must consolidate the separate requests into one proceeding and issue one reconsideration.

## Notes

### Amendments

[70 FR 11472, Mar. 8, 2005, as amended at 84 FR 19870, May 7, 2019]

### Source

Source: 70 FR 11472, Mar. 8, 2005, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 263a, 405(a), 1302, 1320b-12, 1395x, 1395y(a), 1395ff, 1395hh, 1395kk, 1395rr, and 1395ww(k).

### Amendments

[70 FR 11472, Mar. 8, 2005, as amended at 84 FR 19870, May 7, 2019]