Title 32 National Defense Civilian Health And Medical Program Of The Uniformed Services (CHAMPUS) Part 199.10 Appeal And Hearing Procedures Revision: Rule: (a) General. (1) Initial determination. (i) Notice of initial determination and right to appeal. (ii) Effect of initial determination. (2) Participation in an appeal. (i) Parties to the initial determination. (ii) Representative. (3) Burden of proof. (4) Evidence in appeal and hearing cases. (5) Late filing. (6) Appealable issue. (7) Amount in dispute. (8) Levels of appeal. (i) Appeal levels for initial determination made by OCHAMPUSEUR, CHAMPUS contractor, or CHAMPUS peer review organization. (ii) Appeal levels for initial determination made by OCHAMPUS. (9) Appeal decision. (b) Reconsideration. (1) Requesting a reconsideration-- (i) Written request required. (ii) Where to file. (iii) Allowed time to file. (iv) Official filing date. (2) The reconsideration process. (3) Timeliness of reconsideration determination. (4) Notice of reconsideration determination. (5) Effect of reconsideration determination. (c) Formal review. (1) Requesting a formal review. (i) Written request required. (ii) Where to file. (iii) Allowed time to file. (iv) Official filing date. (2) The formal review process. (3) Timeliness of formal review determination. (4) Notice of formal review determination. (5) Effect of formal review determination. (d) Hearing. (1) Requesting a hearing-- (i) Written request required. (ii) Where to file. (iii) Allowed time to file. (iv) Official filing date. (2) Hearing process. (3) Timeliness of hearing. (4) Representation at a hearing. (5) Consolidation of proceedings. (6) Authority of the hearing officer. (7) Disqualification of hearing officer. (8) Notice and scheduling of hearing. (9) Dismissal of request for hearing. (i) By application of appealing party. (ii) By stipulation of the parties to the hearing. (iii) By abandonment. (iv) For cause. (v) Vacation of dismissal. (10) Preparation for hearing. (i) Prehearing statement of contentions. (ii) Discovery. (iii) Witnesses and evidence. (11) Conduct of hearing. (i) Right to open hearing. (ii) Right to examine parties to the hearing and their witnesses. (iii) Taking of evidence. (iv) Questioning and admission of evidence. (v) Relevant evidence. (vi) CHAMPUS determination first. (vii) Testimony. (viii) Oral argument and briefs. (ix) Continuance of hearing. (x) Continuance for additional evidence. (A) Continue hearing. (B) Closed hearing. (xi) Transcript of hearing. (xii) Waiver of right to appear and present evidence. (12) Recommended decision. (i) Statement of findings. (ii) Statement of reasons. (e) Final decision. (1) Director, OCHAMPUS. (i) Final action. (ii) Referral for review by ASD(HA). (2) ASD(HA).