Content created by Office of Medicare Hearings and Appeals (OMHA)
OMHA administers the nationwide Administrative Law Judge (ALJ) hearing program for appeals arising from individual claims for Medicare coverage and payment for items and services furnished to beneficiaries (or enrollees) under Medicare Parts A, B, C and D. OMHA also hears appeals arising from claims for entitlement to Medicare benefits and disputes of Part B and Part D premium surcharges. OMHA generally conducts the third level of a five-level appeals process, and operates separately from the other agencies involved in the Medicare claims appeal process.
Now Available: File your appeal online!
The OMHA e-Appeal Portal provides a seamless and efficient way to manage your appeals online. This user-friendly platform allows you to electronically submit your Medicare Part A and B appeal requests, upload necessary documentation, and effortlessly track the status of your appeals. By utilizing the OMHA e-Appeal Portal, you can benefit from reduced paperwork, faster processing times, and the convenience of managing your appeals from anywhere.
Please note, the OMHA e-Appeal Portal currently cannot accept appeal requests for:
- Part A QIO (Quality Improvement Organization) appeals (such as Acentra Health or Commence Health),
- Social Security Administration appeals,
- Medicare Secondary Payer appeals,
- Medicare Part C (Medicare Advantage) appeals, and
- Medicare Part D appeals
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The Appeals Process
Learn basic information on the five levels in the Medicare claims appeals process.
Filing an Appeal
Find detailed information on what to expect and how to prepare for your Level 3 appeal.
About OMHA
Learn about OMHA’s organizational structure and leadership, as well as general workload information and statistics.
Contact OMHA
Find contact information for OMHA’s headquarters and field offices.
Appeals Status Lookup
Check the status of your appeal using the ALJ Appeal Status Information System (AASIS).
Subscribe to Our Email List
Subscribe to Our Email List
The Office of Medicare Hearings and Appeals (OMHA) has established a listserv to provide updates to our appellant community regarding the OMHA appeals process, OMHA website updates, etc. We encourage you to subscribe to our email list to stay informed!