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Home > Glossary > detailed explanation of non-coverage (DENC)

detailed explanation of non-coverage (DENC)

What is a detailed explanation of non-coverage?

detailed explanation of non-coverage (DENC) infographic

What is a detailed explanation of non-coverage?

A detailed explanation of non-coverage (DENC) is provided by a home health agency, skilled nursing facility, hospice, or outpatient rehabilitation facility if they determine you are no longer eligible for Medicare services, and you appeal that decision.

If you don’t appeal, you will not receive a DENC, and will instead only receive a Notice of Medicare Non-Coverage (NOMNC). The NOMNC will explain how to appeal (request an expedited determination). If the beneficiary chooses to do that, they will then receive a DENC.1

 

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Footnotes

  1. ”FFS & MA NOMNC/DENC” Centers for Medicare & Medicaid Services. Accessed June 26, 2025 ⤶