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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?

medicareresources.org Glossary

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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Eligibility for Medicare coverage depends on factors that include your work history, health status, and residency status. Check your eligibility today.

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Footnotes

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