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Office of Medicare Hearings and Appeals (OMHA)

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.

HHS issues procedures for selecting and appointing Administrative Law Judges (ALJs)

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.

About OMHA

Learn about what OMHA does, including information on current workload and special initiatives.

Contact OMHA

Find contact information for OMHA’s headquarters and field offices.

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!

Content created by Office of Medicare Hearings and Appeals (OMHA)
Content last reviewed on January 8, 2019