definition of appealed claim
How do I file an appeal? An appeal is the action you can take if you disagree with a coverage or payment decision made by Medicare, your Medicare health plan, or your Medicare Prescription Drug Plan. You can appeal if Medicare or your plan denies one of these: 1  Your request for a health care service, supply, item, or prescription drug that you think you should be able to get.  Your request for payment for a health care service, supply, item, or prescription drug you already got.