Retraction Request Worksheet

If a reconsideration of claims, the Retraction Request Worksheet should be completed.  This ensures correct claims be reconsidered as well as provides a way of tracking and documenting reconsideration requests.

The Retraction Request Worksheet should be uploaded to the RECON client chart.

Creation date: 7/10/2019 11:29 AM      Updated: 8/22/2022 10:55 AM
Files
Retraction Request Worksheet for Providers.xlsx
17.2 KB