Back to Top Skip to main content

Appeals, Hearings and Claims Collections Division

The Appeals, Hearings and Claims Collections Division is responsible for the following:

Formal Review Process 

Reviews and determines legal sufficiency of adverse contractor decisions on beneficiary claims. Issues decisions based on medical review, application of law and regulation, or other agency review.

Hearing Process

Represents the DHA/DoD in all hearings before an independent hearing officer.

Recoupment Process

Administer the recoupment process which involves numerous actions required to collect outstanding beneficiary and provider debts as mandated by the Federal Claims Collection Act (FCCA) and the Federal Medical Care Recovery Act.

Related Links

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing: Download a PDF Reader or learn more about PDFs.