Alabama Recovery Audit Contract (RAC)

Understanding Informal Conferences

If a provider believes that their claim(s) was paid correctly as originally submitted, the provider may submit additional documentation and any supporting guidelines/regulations to further substantiate the findings. This documentation must be submitted within 15 calendar days from the date of either the Draft Audit letter or the Automated Findings letter. 

Below are the steps to follow when submitting documentation.

1. Mail the documents to Alivia you want to submit in response to the review letter received.  
2. If applicable, include the cover sheet attached provided with the review letter requesting reevaluation by Alivia within 15 calendar days from the date of the letter.  
3. Send a copy of the Itemized Claims Report indicating whether you agree or disagree with each finding. 
4. Send supporting documentation for the claim being billed not previously sent (this must include the date(s) this documentation was created). 
5. Send supporting documents as justification, that can fully support your reason for disagreeing with the Explanation of Review attachment.