Quality Improvement Organization Manual (Pub. 100-10), Ch. 7 § 7540

Routing the Hearing Claim File to Office of Hearings & Appeals

Last amended: 2003Year: 2003Length: 113 wordsOfficial source
7540 - Routing the Hearing Claim File to Office of Hearings & Appeals (OHA) - (Rev. 4, 07-18-03) Follow instructions found in Exhibit 7-61 on "How to Locate the Correct Hearing Office." Prior to forwarding the claim file to the hearing office, attach the CMS-3509, Health Insurance Appeal Case Form, to the front of the folder (See Exhibit 7-67). This form provides the routing instructions for the hearing office after it completes its action on the request. It is important to place this form on all folders sent to OHA and to check the correct return address block. NOTE: This form is printed on yellow heavy stock paper. Do not photocopy the form.
Quality Improvement Organization Manual (Pub. 100-10), Ch. 7 § 7540: Routing the Hearing Claim File to Office of Hearings & Appeals | Justis AI