Office of Medicare Hearings and Appeals (OMHA)
Long description for image "Levels of the Appeals Process".
The image describes the levels of the appeals process:
Level 1: Your Health Plan. If you disagree with a Medicare coverage decision, you may request your health plan to redetermine your claim.
Level 2: An Independent Organization. If you disagree with the decision in Level 1, you may request a reconsideration by an independent organization.
Level 3: Office of Medicare Hearings and Appeals (OMHA). If you disagree with the Level 2 decision, you may request that OMHA review your claim through an Administrative Law Judge.
Level 4: The Medicare Appeals Council. If you disagree with the Administrative Law Judge's decision, you may request the Medicare Appeals Council review the decision.
Level 5: Federal Court. If you disagree with the Medicare Appeals Council decision, you may seek a review of your claim in Federal District Court.<< Back
