Omha 115 2025

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The document provides instructions for submitting new evidence in the context of an appeal to the Office of Medicare Hearings and Appeals (OMHA). It outlines the process for including new evidence with a request for an Administrative Law Judge (ALJ) hearing, deadlines for submission, and requirements for explanations if evidence was not previously submitted. Additionally, it includes sections for identifying the appeal number, party information, representative details, and a description of the new evidence. The document also contains a Privacy Act statement regarding the use of collected information.

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