GN 04060.020 Actions Necessary to Permit Reopening Within the One-Year or Four-Year Period
To reopen a determination or decision under either the 1-year or 4-year rule (see
GN 04060.005), it is necessary that (A) a written request be filed by a party to the determination
or decision, or by an authorized representative, within the applicable time limit;
or (B) the Health Care Financing Administration, an intermediary, or carrier or a
hearing officer, Administrative Law Judge or member of the Appeals Council takes some
action (which can be documented) within the applicable time limit questioning the
correctness of the determination or decision.