The Office of Medicare Hearings and Appeals, under direct delegation from the Secretary of the Department of Health and Human Services, administers nationwide hearings for the Medicare program. The Office of Medicare Hearings and Appeals holds hearings and issues decisions related to Medicare coverage determinations that reach Level 3 (of 5) of the Medicare claims appeal process. Foreign Translations will act as an on-going farsi translation service provider for foreign documents needed in English, such as the translation of a Medicare appeal document from Farsi to English.