The following list contains the sequencing of captions and paragraphs for IRMAA Reconsideration
Dismissal Notices for Non-T2 beneficiaries. An “R” indicates a required paragraph,
while an “O” indicates an optional paragraph.
-
•
Introductory (no caption)
MIR087 R
MIR066 O
-
•
MIRC18 – You Asked For A Review Too Late
MIR089 O
-
•
REFCO1 – If You Have Any Questions
REF093 O
REF103 O
REF104 O
REF106 O
NOTE: MIRC18 will only generate if MIR089 is present.