Access the below appeal level related information from this page.

• Reopening
• Redetermination - First Level
• Reconsideration - Second Level
• Administrative Law Judge (ALJ) Hearing - Third Level
• Medicare Appeals Council Review - Fourth Level
• Federal Court Review - Fifth Level

Resources

• CMS Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual, Chapter 29 - Appeals of Claims Decisions
• CMS IOM, Publication 100-04, Medicare Claims Processing Manual, Chapter 34 - Reopening and Revision of Claim Determinations and Decisions
• CMS Medicare Learning Network (MLN) Matters Special Edition (SE)1426