How to Submit an Appeal to the Administrative Law Judge (ALJ)
If you disagree with the outcome of your Reconsideration (Level 2 appeal) you can request a hearing before an Administrative Law Judge (ALJ). This is Level 3 of the claims appeal process.
For more information on Administrative Law Judge please visit the follow website: http://www.hhs.gov/omha/index.html
You can access ALJ forms by following this link: http://www.hhs.gov/omha/forms/index.html
Below is the list of field offices per region.
Mid-Atlantic Field Office
1700 N. Moore Street, Suite 1600
Arlington, VA 22209-1912
Phone: 866-231-3087
Midwestern Field Office
200 Public Square, Suite 1300
Cleveland, OH 44114-2316
Phone: 866-236-5089
Western Field Office
27 Technology Drive Suite 100
Irvine, CA 92618-2364
Phone: 866-495-7414
Southern Field Office
100 SE 2nd Street, Suite 1700
Miami, FL 33131-2100
Phone: 866-622-0382

References: CFR 42 § 405.902; CFR 42 § 405.974(b)(3); CFR 42 § 405.980(a)(5); CFR 42 § 405.926(s); CFR 42 § 405.1018(c); CFR 42 § 405.10349(a); CFR 42 § 405.966.
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