Portal End User License Agreement

Welcome to the Medicare E-Appeal Portal (“Portal”). By clicking the “Accept” button, the user (“You”) agree to be bound by the terms and conditions contained in this agreement (the “Agreement”), and the terms and conditions of HHS’ Privacy notice, published at http://www.hhs.gov/privacy.html. Please read this document carefully before you access or use this service. If you do not agree to be bound by these terms and conditions or privacy notice policies, you may not use the Portal.  

You agree that the Office of Medicare Hearings and Appeals (OMHA) may change or modify this agreement at any time at our sole discretion. Your continued access and use of the Service will be your acceptance of the changed agreement. If you are dissatisfied with the Portal, its content or this Agreement, you agree that your sole and exclusive remedy is to discontinue using the Portal.

 User Restrictions

To use this site, you agree to be bound to the following provisions:

1. In the interest of security, OMHA reserves the right, at any time and without notice, to:
   1. Deny access to its information systems to anyone;
   2. Change user passwords;
   3. Terminate the portal;
2. OMHA has the right to access, read, copy, delete, and give out OMHA information. OMHA has the right to inspect any and all files stored or transmitted by you or by OMHA when using the Medicare E-File Portal.
3. You will not make illegal use of the Portal or use it for purposes which are illegal.
4. You will not use OMHA’s web facilities and computing resources to violate the laws and regulations of the United States or any other nation, state, city, province, or jurisdiction.
5. You will not access or attempt to access any product or service offered via the Portal by any means other than the interface provided and that you will not attempt to gain access to our computer system or any other computer systems.
6. You will maintain privacy and will not use or give out any information of OMHA or its contractors.
7. You will create and use confidential passwords when accessing OMHA. If your password is accidentally revealed, you can create a new password at any time.
8. You will immediately report to OMHA any activity you suspect is fraudulent or that threatens the security of OMHA Information Systems.

Warranty Disclaimers

By using this Portal, you agree to release OMHA from any and all liability for damages of any kind or nature resulting from or arising out of this agreement or any use of the Portal, including unauthorized access to the site. You further agree that OMHA:

1. Does not make any warranties, representations, or endorsements about the Portal, or any information or service provided through the Portal or on the web, and will not be liable for any cost or damage from your use of the Portal, including any lost profits, business interruption, loss of programs or data on your equipment, or otherwise, even if OMHA is advised of the possibility of such damages.
2. Does not warrant the accuracy, completeness, timeliness, or usefulness of any information, opinions, advice, services, or any other information provided through the Service or on the web.
3. Is not responsible for any changes required by your Internet Service Provider.

 What You Should Know

The information on Medicare Appeal E-file website is for general information purposes, as a convenience to people with Medicare and as public service. The material is not a substitute for getting professional advice from a qualified person, firm or corporation. Consult the appropriate professional advisor for more complete and updated information. OMHA is not engaged in rendering any legal, medical or professional services by placing this general information material on this website.

Information may be changed or updated without notice. Therefore, information on Medicare E-Appeal may be out of date at any given time. OMHA may also make improvements and/or changes to the products and/or programs described on this portal at any time without notice.

Portal Confidentiality Agreement

Commitment to Confidentiality. Confidentiality is a top priority at OMHA. We are committed to ensuring the security and confidentiality of beneficiary and other appellant information on Medicare E-Appeal.gov. The following agreement describes how we use information that you provide and conduct electronic business with you through this website.

Personal Information OMHA is very aware of the privacy concerns of people with Medicare. In fact, we share your concerns and will not solicit personal information from you as you tour our site, though you may provide that information voluntarily. If you choose to provide your personal information to us, we will not sell, license or transmit that information.

There are instances in which OMHA might internally use the personal information you voluntarily submit. These instances include disclosing your personal information (as described below) to our agents, affiliates and subsidiaries to allow them to perform certain functions for us. We may also use your Secret Question, Secret Answer and Birth Date to later identify you in case you forget or misplace your Medicare Number/Password.

"Personal" information is described as data that is unique to an individual, such as a name, address, telephone number, social security number and date of birth (DOB). At times, we may request personal information from you through Medicare E-Appeal.gov in order to deliver materials you request, respond to your questions, or deliver a product or service.

Privacy/Confidentiality Standards OMHA recognizes the need to maintain confidentiality of your protected health information and is committed to protecting your privacy. To help us keep that commitment to you, we have established policies and procedures, which are explained in more detail in the "HHS Privacy Policy."  

NOTICE TO USER ABOUT THE COLLECTION AND USE OF MEDICARE INFORMATION (PRIVACY ACT STATEMENT)

FOR YOUR INFORMATION ONLY

"THIS INFORMATION IS BEING COLLECTED UNDER CONTRACT WITH THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES, FOR USE BY THE MEDICARE PROGRAM."

The Social Security Act mandates the collection of information to be used to set up your Medicare file. The purpose of collecting this information is to properly pay medical insurance benefits to you or on your behalf.

Information may be given to health insurance providers and suppliers of services (and their authorized billing agents) directly or through fiscal intermediaries or carriers, for administration of Title XVIII; and to an individual or organization for research evaluation, or epidemiological project related to the prevention of disease or disability, or the restoration or maintenance of health.

The identification number we are using to set up your file is your Medicare Health Insurance Number. While furnishing the information on the enclosed form is voluntary, the Medicare program may not be able to make accurate claims payment when the requested information is not available in its records.

Public Law 100-503, the Computer Matching and Privacy Protection Act of 1988, permits the government to verify information by way of computer matches. Anyone who knowingly and willfully makes or causes to be made a false statement or representation of a material fact for use in determining a right to payment under the Social Security Act commits a crime punishable under Federal law by fine, imprisonment, or both.