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
                              OMHA
                              The Appeals Process
                              Level 3 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

                    




Level 3 Appeals (OMHA)








  
  
    

  
      



If you disagree with the outcome of your Level 2 appeal (called a reconsideration or reconsidered determination), you or your representative can request the dismissal or decision be reviewed by an OMHA adjudicator. At Level 3 of the appeals process, your appeal will be reviewed by an OMHA adjudicator, and you may have a hearing before an Administrative Law Judge (ALJ).

Review by an OMHA adjudicator gives you the opportunity to present your appeal to a new person who will independently review the facts of your appeal before making a new and impartial decision in accordance with the applicable law.

In some instances, an OMHA adjudicator may decide a case on the record (for example, if all the parties who would be sent a notice of hearing indicate in writing that they do not wish to appear at a hearing, or if the documentary evidence supports a finding fully favorable to the appellant(s) on every issue and no other party to the appeal is financially responsible for any of the claims at issue). Decisions, dismissals, and remands that do not require a hearing may be issued by an adjudicator.

                    
  


Content created by Office of Medicare Hearings and Appeals (OMHA) Content last reviewed July 3, 2017 Back to top
    Contact HHS
    
                        
                                            
      
      
      Careers
    
                        
                                            
      
      
      HHS FAQs
    
                        
                                            
      
      
      Nondiscrimination NoticeHHS Archive
    
                        
                                            
      
      
      Accessibility Statement
    
                        
                                            
      
      
      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​