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Universe Table 2: Standard and Expedited Pre-service Reconsiderations (RECON)

The ODAG universe listing every pre-service reconsideration (plan-level appeal) approved, denied, auto-forwarded or dismissed.

Table 2 lists all pre-service reconsideration requests the sponsoring organization approved, denied, auto-forwarded to the IRE or dismissed during the universe request period. It includes supplemental-service and Part B drug requests. The Date of Determination (Column P) must fall within the period.

Source: ODAG protocol, Universe Table 2 record layout guidance, PDF p. 22.

Universe Table 2: Standard and Expedited Pre-service Reconsiderations (RECON) — CMS Glossary | UniVerify