L33718version 52· captured 2026-07-14
Denied claim · appeal support
E0601 denied — here is the Medicare policy that governs it
We hold the full text of 2 CMS policy documents that govern E0601. Every one is linked below at the exact version we captured, so you can read the governing language on cms.gov before you write anything.
L33800version 43· captured 2026-07-14
LCD L33800: Respiratory Assist Devices — DME MAC
Read it on cms.gov ↗Draft a redetermination letter for this denial
Describe your denial and we will confirm — free, before any payment — which of these documents governs it. If we can ground it, one letter quoting that document word for word is $59. No account required.
Every quoted sentence is verified against the governing LCD or NCD. If a quotation can’t be matched character-for-character to the CMS document it is attributed to, the letter is refused and you are not charged.
Denied by a Medicare Advantage plan?
The same document applies. Under 42 CFR 422.101(b), a Medicare Advantage plan must follow CMS national coverage determinations and the written coverage decisions of the local Medicare contractor with jurisdiction — so the policy above binds the plan, not just traditional Medicare. The appeal is a reconsideration filed with the plan, and the window is shorter: 60 days, not 120.
Before you file
Traditional Medicare: Medicare gives you 120 calendar days from the date you receive the remittance advice to file a redetermination, and receipt is presumed to be 5 calendar days after the date printed on the notice unless there is evidence to the contrary (42 CFR 405.942(a)(1)). CLV does not file the appeal for you.