DRG, APC, clinical validation and readmission guideline audits

Page last updated on: 9/10/25

Please don’t submit a replacement claim once a claim has been selected for a pre- or post-payment review.

Note: An authorization isn't a guarantee of payment.

Level I audit disputes

As of Mar. 19, 2023, providers have one audit appeal right.

When two different facilities are involved with the readmissions, the right to appeal this audit belongs to the provider who submitted the original claim and whose reimbursement is being impacted.

If you receive a DRG or APC change notification letter from Machinify (FKA VARIS, LLC), one of our vendor partners, and you disagree with their findings:

  1. Complete the acknowledgement form

    Machinify (FKA VARIS, LLC) sends the acknowledgement form along with your change notification letter. With the form, you'll need to submit additional or clarifying information to Machinify within 30 days of receipt of audit findings. If you don't have the form, you can contact Machinify by phone at 916.294.0860.

  2. Document the points of your disagreement

    In addition to the acknowledgement form, include:

    An explanation of why you disagree with the findings and/or the interpretation of a guideline

    Sections of the medical record that support your dispute (NOT the complete medical record)

    Query documentation if appropriate

    References as needed to support your dispute

Submitting your form

Send your acknowledgement form and documentation to Machinify (FKA VARIS, LLC) via:

Email: Please note, Machinify has new email addresses as of July 2025.

If you have any questions about case status, please email: statuscheck@machinify.com.

If you have medical records to submit, please email: medicalrecords@machinify.com.

If you have an appeal or acknowledgement to submit, please email: varis-appeals@machinify.com

Phone: 916.294.0860

Fax: 916.294.0844

Mail: VARIS, LLC
9245 Sierra College Blvd. Ste 100
Roseville, CA 95661

SFTP: Must be established with VARIS, LLC in advance