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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.

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