Armare Claim Review logo - Medicare Payment Integrity Contractor

Provider Information

About Our Organization

Armare Claim Review is a Medicare payment integrity contractor working on behalf of Medicare Advantage organizations to review claims and identify potential overpayments in accordance with CMS regulations.

We conduct post-payment reviews of Medicare claims to ensure accuracy and compliance with Medicare coverage guidelines and payment policies.

CMS CompliantHIPAA Compliant

Key Information

Organization Type:Payment Integrity Contractor
Primary Function:Medicare Claim Review
Regulatory Authority:CMS Guidelines
Review Type:Post-Payment Audit

Response Requirements

Response Deadline

30 Days

From date of request letter

Documentation Required
  • Complete medical records
  • Supporting documentation
Submission Methods
  • Secure email
  • Secure fax
  • Certified mail

Contact Information

General Inquiries

Email

providers@armareclaimreview.com

Appeals & Disputes

Appeals Email

appeals@armareclaimreview.com

Medical Records

Email

records@armareclaimreview.com

Encrypted transmission required

Medical Records Submission

Mailing Address

Armare Claim Review

Attn: Medical Records Review

P.O. Box 9419

San Diego, CA 92169

Required on envelope:

Case Reference Number

Provider NPI Number

Electronic Submission

Secure Email

records@armareclaimreview.com

Encrypted transmission required

Secure Fax

(858) 351-3291

HIPAA compliant transmission

Submission Requirements

  • Include case reference number on all submissions
  • Provide complete medical records for dates of service in question
  • Ensure all pages are legible and properly sequenced
  • Include provider contact information for follow-up questions

Appeals Process

Initial Review Period

30 days from receipt of determination letter to submit additional documentation or request reconsideration.

Formal Appeal

Submit written appeal with supporting documentation within 60 days of final determination.

Independent Review

Cases undergo independent clinical review by qualified healthcare professionals.