Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 230
Where to Appeal
230 - Where to Appeal
(Rev. 4380, Issued: 08-30-19, Effective: 07-08-19, Implementation: 10- 01-19)
Where a party must file an appeal depends on the level of appeal. The chart below indicates where
appellants should file appeal requests for each level of appeal.
CHART 2 - Where to File an Appeal
LEVEL
WHERE TO FILE AN APPEAL
Part A*
Part B
DME
Redetermination
MAC
MAC
MAC
LEVEL
WHERE TO FILE AN APPEAL
Reconsideration
QIC
QIC
QIC
ALJ Hearing
HHS OMHA Central
Operations
HHS OMHA Central
Operations
HHS OMHA Central
Operations
Appeals Council
Review
Appeals Council
Appeals Council
Appeals Council
*Includes part B claims filed with the Part A Medicare Administrative Contractor (MAC).