Skip to main content


U.S. flag
      An official website of the United States government
              Here’s how you know
        Here’s how you knowDot gov**Official websites use .gov**
                 A **.gov** website belongs to an official government organization in the United States.
                  HTTPS**Secure .gov websites use HTTPS**
                 A **lock** (A locked padlock) or **https://** means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites. 
  Menu Close
          Enter the terms you wish to search for.
    Search
        








  
  
    

  
      

                                      About HHS
    
                        
                              
      
      
      Programs & Services
    
                        
                              
      
      
      Grants & Contracts
    
                        
                              
      
      
      Laws & Regulations Breadcrumb
    Home
                              About
                              Agencies
                              Office of Medicare Hearings and Appeals (OMHA)
 Navigate to:
  Office of Medicare Hearings and Appeals (OMHA)
    
                                                  
                                                                  
            
      
      
      
      The Appeals Process
                                            
            
            Level 1 Appeals
    
                                                  
                                            
            
      
      
      
      Level 2 Appeals
    
                                                  
                                            
            
      
      
      
      Level 3 Appeals (OMHA)
    
                                                  
                                            
            
      
      
      
      Level 4 Appeals
    
                                                  
                                            
            
      
      
      
      Level 5 Appeals
    
                                                  
                                            
            
      
      
      
      Legal Authorities
    
                                                  
                                            
            
      
      
      
      Case Processing Manual
    
                                                  
                                                                  
            
      
      
      
      Filing an Appeal
                                            
            
            Coverage and Claims Appeals
                          
            
            Medicare Beneficiary and Enrollee Appeals and Assistance
    
                                                  
                                            
            
      
      
      
      Escalation Rights
    
                                                  
                                            
            
      
      
      
      Your Right to Representation
    
                                                  
                                            
            
      
      
      
      Appeals Status Lookup
    
                                                  
                                            
            
      
      
      
      Forms
    
                                                  
                                            
            
      
      
      
      Glossary
    
                                                  
                                            
            
      
      
      
      FAQs
    
                                                  
                                                                  
            
      
      
      
      About OMHA
                                            
            
            Organizational Chart
                          
            
            Leadership
    
                                                  
                                            
            
      
      
      
      Workload Information and Statistics
    
                                    
                                            
            
      
      
      
      Contact OMHA
    
                                    
                                            
            
      
      
      
      Work for Us
    
                                    
                                            
            
      
      
      
      Whistleblower Protections and Non-Disclosure Agreements
    
                                    
                                            
            
      
      
      
      Notice of Non-DiscriminationText resize icon

                    




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.

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.
                        I would like info on...Appeal Status LookupMedicare Beneficiary and Enrollee Appeals and Assistance




The Appeals ProcessLearn basic information on the five levels in the Medicare claims appeals process.
                        Filing an AppealFind detailed information on what to expect and how to prepare for your Level 3 appeal.




About OMHALearn about OMHA’s organizational structure and leadership, as well as general workload information and statistics.
                        Contact OMHAFind contact information for OMHA’s headquarters and field offices.




Appeals Status LookupCheck the status of your appeal using the ALJ Appeal Status Information System (AASIS).
                        Work for Us
                        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!

                    
  


Content created by Office of Medicare Hearings and Appeals (OMHA) Content last reviewed September 26, 2023 Back to top
    Contact HHS
    
                        
                                            
      
      
      Careers
    
                        
                                            
      
      
      HHS FAQs
    
                        
                                            
      
      
      Nondiscrimination NoticeHHS Archive
    
                        
                                            
      
      
      Accessibility
    
                        
                                            
      
      
      Privacy Policy
    
                        
                                            
      
      
      Viewers & PlayersBudget/Performance
    
                        
                                            
      
      
      Inspector General
    
                        
                                            
      
      
      Web Site Disclaimers
    
                        
                                            
      
      
      EEO/No Fear ActFOIA
    
                        
                                            
      
      
      The White House
    
                        
                                            
      
      
      USA.gov
    
                        
                                            
      
      
      Vulnerability Disclosure Policy
        Sign Up for Email Updates

Receive the latest updates from the Secretary, Blogs, and News Releases.

Sign Up
  HHS Headquarters
          200 Independence Avenue, S.W.
                  Washington, D.C. 20201
                  Toll Free Call Center: 1-877-696-6775​