An MR ADR is a Medical Review Additional Documentation Request for claim(s) being processed. Additional documentation is needed before the claim can be processed. When a claim is selected for medical review, a medical review additional request (MR ADR) is generated requesting medical documentation be submitted to ensure payment is appropriate. Documentation must be received within 45 calendar days for review and payment determination.
Other Related Websites:
Responding to a Home Health Additional Documentation Request (ADR) Palmetto GBA (Attached below in Related Links)
Responding to a Hospice Additional Documentation Request (ADR) Palmetto GBA (Attached below in Related Links)
Other links can be found on the Palmetto GBA website, as well as the CGS (A Celerian Group Company) for states other than NC.