If you are dissatified with an initial claim determination, you have the right to request an appeal. There are several appeal levels and each level must be processed before proceeding to the next level. Following are the available appeal levels, amount in controversy thresholds and the time limits for filing an appeal.
|
Appeals
|
Time Limit
|
Minimum Amount in Controversy
|
Notes
|
| Redetermination (initial appeal) |
120 days from the date of the initial claim determination notice |
None |
A Redetermination Request must be completed before filing a Reconsideration Request with the QIC |
Reconsideration -
Qualified Independent Contractor (QIC) |
180 days from receipt of the redetermination |
None |
Include a copy of the redetermination notice with any QIC request |
| Administrative Law Judge (ALJ) |
60 days from receipt of the QIC decision |
Requests made before January 1, 2008 - $120 |
The QIC decision letter will provide the HHS OMHA office to which an ALJ request is mailed |
| Departmental Appeals Board Review (DAB) / Appeals Council |
60 days from the date of the ALJ decision or dismissal |
None |
 |
| Federal District Court Review |
60 days from the date of the Appeals Council decision |
Requests made on or after January 1, 2008 - $1,180.
Requests made on or after January 1, 2009 - $1,220. |
 |
Looking for forms? Forms for the various levels of appeal are located at the bottom of this page.
Want to avoid appeals? Check out the Denial Finder tool.