The Independent Review Entity is overdue

Checked against the current rules on September 18, 2026.

The Independent Review Entity (C2C Innovative Solutions) has passed its own deadline to decide your case with no decision recorded.

Here's exactly what it means for your appeal, and what to do about it.

What this means

The Independent Review Entity is a separate company under contract with CMS, not part of your plan — so a delay here isn't the plan stalling again, it's a different organization with its own deadline. Most delays are administrative rather than a sign anything is wrong with your case.

Having your case number ready before you call saves time — C2C handles a high volume of cases, and being able to reference yours specifically gets you a real status update instead of a general answer.

What to say

Here's what actually moves this forward:

What to expect

C2C should be able to tell you the status of your case and an expected decision date.

Who to contact

National contacts for this situation:

This doesn't reset your case

Whatever brought you to this page is a situation the appeal process already accounts for — it's not a sign the case is broken or that you're starting over. The same level structure, the same rule-based reasoning, and the same deadlines already in motion for your case keep applying.

If you want the full picture of how the appeal levels fit together and where a case like this sits in that sequence, that's covered on its own page.

Families deal with this kind of detour more often than the standard version of the process suggests — the straightforward path from denial to letter to decision is common, but it's far from the only real path a case takes.

Whatever the situation, the next real step is usually a phone call — to the contact listed above, or to your state's free counseling program — not another form to fill out on your own.

Sources — last checked September 18, 2026

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By CaseWhy Appeals editorial. See how this content is produced. Not legal advice. Not affiliated with or endorsed by Medicare, CMS, or any health plan. A product of CaseWhy LLC.