Office of Medicare Hearings and Appeals (OMHA)
Level 4 Appeals
|If you are not satisfied with your Level 3 decision or dismissal, you may request that the Medicare Appeals Council (MAC) review the ALJ's decision. |
The Medicare Appeals Council (MAC):
Select any level for more information.
A written request is required to obtain a MAC review. You may send a letter. For more information, see the MAC website.
Your request for review should include certain case identifying information, such as the:
|Submitting your request|
You may mail your request to:
Department of Health and Human Services
You may also fax your request for review to (202) 565-0227.
Be sure to send a copy of your request to the organization that originally denied your claim (e.g., your HMO, health care provider, etc.).
Please note that the Office of Medicare Hearings and Appeals is responsible only for the Level 3 claims appeals and certain Medicare eligibility and Part B premium appeals. OMHA is not responsible for levels 1, 2, 4, and 5 of the appeals process. OMHA provides additional information on other levels of appeals to help you understand the appeals process in a broad context.