01
Further urgent review
The decision may give a short deadline or forwarding instruction. Follow that notice first.
After a Medicare fast appeal
The QIO denied the fast appeal. Check the notice before choosing the next step.
Some decisions carry another urgent review instruction. Some families later receive a standard coverage or payment denial for days already received. Upload the complete notice and we will identify which path it describes.
Check the decision notice freeUploading does not itself file the next appeal
Still need care urgently?
Do not wait for Recourse or certified mail. Follow the deadline and contact instructions on the QIO decision and involve the treating doctor or facility immediately.
Three outcomes the notice may describe
02
Denied days or payment
A later standard plan notice about care already received may fit Recourse's written appeal service.
03
No supported paid route
If Recourse cannot handle the next step, we point to the official instructions instead of charging.
Upload the complete paper trail
- • The QIO decision, every page
- • The original NOMNC and DENC
- • Any later plan coverage or payment notice
- • Therapy, nursing, doctor, or discharge records
Questions after a QIO denial
- Does losing the QIO appeal always mean I can buy a Recourse appeal?
- No. The next step depends on the decision notice, timing, and whether the dispute concerns ongoing care or payment for days already received. We identify the route before offering any paid service.
- Should I wait for certified mail if care is still urgently needed?
- No. Follow every urgent instruction and deadline on the QIO or plan notice. Contact the treating provider and the organization listed on the decision. Uploading to Recourse does not itself request urgent review.
- Can Recourse help with denied days I already received?
- Possibly. If the plan issues a supported standard coverage or payment denial for skilled-nursing or inpatient-rehab days, the written appeal may fit our $179 service. The uploaded notice controls.
- What should I upload?
- Upload the complete QIO decision, any later plan denial or payment notice, the original NOMNC/DENC, and supporting clinical records you have. Include every page.
Recourse is independent, not a law firm, and not affiliated with Medicare, CMS, a QIO, any health plan, or any government agency. This page provides general process information, not legal or medical advice. The instructions on your notice control.