Department Appeals Board information on how to request an appeal of an Administrative Law Judge decision.

September 20, 2009 by admin

If you do not agree with the decision or order an Administrative Law Judge (ALJ) issued in your Medicare claim, you may ask the Medicare Appeals Council to review the ALJ's action. To do this, you may complete the Request for Review of Administrative Law Judge Medicare Decision / Order (Form DAB-520) or write a letter to the Department Appeals Board (DAB). Your completed form (or your letter) should be mailed to the following address: Medicare Appeals Council Medicare Operations Division DHHS, DAB, Room 633F 200 Independence Ave., SW Washington, DC 20201 You may also file your completed form (or your letter) with your local Social Security Office or the Hearing Office that issued the decision or dismissal order. You must file your appeal within 60 days from the date you got the ALJ hearing decision or order. You should submit any new evidence you want the Medicare Appeals Council to consider with your request for review. If you need additional time to submit evidence, you must request it when you file your request for review. Additional information about the DAB appeals process can be found in the Department Appeals Board (DAB) section of the Department of Health and Human Services website. General information about your Medicare appeal rights regarding Medicare payment decisions for supplies or services you received is available in the Medicare Appeals and Grievances section of www.medicare.gov .