Office of Medicare Hearings and Appeals (OMHA)

Five Levels of the Medicare Appeals Process

There are five levels in the Medicare claims appeal process. OMHA is responsible for Level 3 claims appeals. Click below or to the left to learn more about each level:

OMHA appeals process as a series of five levels with a description of each level.

You can visit the charts page for charts detailing the entire appeals process by type of Medicare.

Please note that the Office of Medicare Hearings and Appeals is responsible only for the Level 3 claims appeals and certain Medicare entitlements and IRMAA appeals. OMHA is not responsible for levels 1, 2, 4, and 5 of the appeals process. OMHA provides additional information on other levels of appeals to help you understand the appeals process in a broad context.