TMPPM 2008 > Provider Information > Appeals > Appeal Methods

6.1.1.3 Disallowed Electronic Appeals

The following claims may not be appealed electronically:

•Claims that require supporting documentation (e.g., operative report, medical records, home health, hearing aid, and dental X-rays).

•Diagnosis-related group (DRG) assignment.

•Medicare crossovers.

•Claims listed as pending or in process with explanation of pending status (EOPS) messages.

•Claims denied as past filing deadline except when retroactive eligibility deadlines apply.

•Claims denied as past the payment deadline.

Exception: Inpatient hospital claims denied for lack of a Hysterectomy Acknowledgment Statement or a Sterilization Consent Form may be appealed electronically if the requested form has been faxed according to the instructions under "Hysterectomy Services" .