If Medicare services are ending too soon, an appeal can be filed by calling Livanta's HelpLine for the patients designated state. Once Livanta receives the phone call about the appeal, they will call the patients' health care provider to request their medical records. Once that is received, the Livanta physician reviewer will review the record and will decide whether the patient is healthy enough to be discharged. After the review is complete, the patient will receive a phone call and a letter from Livanta with the decision.