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. Please note, the portal cannot accept appeal requests for Part A QIO (Quality Improvement Organization) appeals (such as Kepro or Livanta), Social Security Administration appeals, Medicare Secondary Payer appeals, Medicare Part C (Medicare Advantage) appeals, and Medicare Part D appeals at this time.
Learn basic information on the five levels in the Medicare claims appeals process.
Find detailed information on what to expect and how to prepare for your Level 3 appeal.
Learn about OMHA’s organizational structure and leadership, as well as general workload information and statistics.
Find contact information for OMHA’s headquarters and field offices.
Check the status of your appeal using the ALJ Appeal Status Information System (AASIS).
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!