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 allows you to electronically submit Medicare Part A and B appeal requests, upload documentation, and obtain information on appeal status.
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.
Learn about what OMHA does, including information on current workload and special initiatives.
Appeals Status Lookup
Check the status of your appeal using the ALJ Appeal Status Information System (AASIS).
Special Initiatives: Improving the Appeals Process
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, special initiatives, pilot processes, OMHA website updates, etc. We encourage you to subscribe to our email list to stay informed!