Under Section 1878 of the Social Security Act and the regulations at 42 CFR 405.1875, the Administrator of the Centers for Medicare & Medicaid Services has the authority to review decisions rendered by the Provider Reimbursement Review Board and to issue final Agency decisions for the Secretary of the Department of Health and Human Services. This site provides access to Administrative Review Decisions beginning in 2003.

Sort by: Administrator Decision # Ascending Administrator Decision # Descending PRRB Decision # Ascending PRRB Decision # Descending Case Name Ascending Case Name Descending Subject of Claim Ascending Subject of Claim Descending

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Administrator Decision #	PRRB Decision #	Case Name	Subject of Claim
2004-D9	2004-D9	Heritage Health Care, Inc. d/b/a Heritage Villa Nursing Center Provider vs. Mutual of Omaha Insurance Company Intermediary	Cost Reporting Period Ended June 30, 1998
2004-D8	2004-D8	Heritage Health Care, Inc. d/b/a Heritage Villa Nursing Center Provider vs. Mutual of Omaha Insurance Company Intermediary	Cost Reporting Period Ended June 30, 1999
2004-D7	2004-D7	Northern Michigan Hospital Petoskey, Michigan Provider vs. Blue Cross Blue Shield Association/United Government Services, LLC-WI Intermediary	Date of Hearing-January 22, 2003
2004-D6	2004-D6	Alpena Dialysis Services Alpena, Michigan Provider vs. Blue Cross Blue Shield Association/United Government Services, LLC-WI Intermediary	Date of Hearing-January 22, 2003
2004-D5	2004-D5	Chippewa Dialysis Services Sault St. Marie, Michigan Provider vs. Blue Cross Blue Shield Association/United Government Services, LLC-WI Intermediary	Date of Hearing-January 22, 2003
2004-D4	2004-D4	ProActive Home Care, Inc. Wichita, Kansas Provider vs. Blue Cross Blue Shield Association/Cahaba Government Benefit Administrators Intermediary	Cost Reporting Periods Ended December 31, 1997 and December 31, 1998
2004-D3	2004-D3	Tri-County Home Health Care and Services, Inc. Columbia, South Carolina Provider vs. Blue Cross Blue Shield Association/Palmetto Government Benefits Administrators Intermediary	Cost Reporting Period Ended September 30, 1996
2004-D26	2004-D26	Aroostook Medical Center Presque Isle, ME Provider vs. Blue Cross Blue Shield Association/Associated Hospital Service of Maine Intermediary	ESRD Closing Window August 30, 2000
2004-D25	2004-D25	Tip of Illinois Health Services Carterville, Illinois Provider vs. Blue Cross Blue Shield Association/Wellmark, Inc. Intermediary	Cost Reporting Periods Ended December 31, 1993 and December 31, 1994
2004-D24	2004-D24	Visiting Nurses Association of North Central Indiana, Inc. Provider vs. Blue Cross Blue Shield Association/Palmetto Government Benefits Administrators Intermediary	Cost Reporting Period Ended December 31, 1995

Data Last Updated : 11/01/2009
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