The Third Level of Appeal is established when at least $140 remains in controversy following a decision by a Qualified Independent Contractor (QIC). A request for reconsideration through an Administrative Law Judge (ALJ) hearing must be filed within 60 days of receipt of the reconsideration decision.
Third Level of Appeal - Office of Medicare Hearings and Appeals' decision is made at the third level of appeal (OMHA) Any party that disagrees with the QIC's (Qualified Independent Contractor) decision to reconsider may ask for a hearing before an ALJ through the Office of Medicare Hearings and Appeals (OMHA). Your appeal will be evaluated by an OMHA adjudicator at Level 3 of the appeals process, and you may have a hearing before an Administrative.
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