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Definitions:
Case number: The number assigned by the Medicare Appeal System to the Level 2 or Level 3 appeal
Compliance notice receipt date: The date the independent review entity (IRE) receives notice from the plan indicating they have effectuated the appeal
Date effectuated: The date, as indicated by the plan, that the item/service at issue in the appeal has been approved/paid
Decision: This indicates the type of decision made by the IRE or ALJ
Decision date: The date the IRE or ALJ rendered a decision
IRE appeal priority: The priority determined by the IRE, which determines appeal processing timeframes (i.e., expedited, pre-service Part B drug, pre-service, retrospective)
Proceeding type: This indicates whether the appeal is a Level 2 reconsideration, reopening or administrative law judge (ALJ) appeal