In the AMA process, can relevant evidence be reviewed during higher-level reviews?

In the AMA (Appeals Modernization Act) process, relevant evidence cannot be reviewed during higher-level reviews. The purpose of a higher-level review is to reassess the existing evidence as it was presented in the original claim without introducing new evidence or considering additional submissions. This framework is designed to streamline the appeals process and ensure that decisions are made based on the record available at the time of the original determination.

The restriction on reviewing new or additional evidence during a higher-level review helps maintain the integrity of the process by focusing on errors in the application of laws or regulations related to the claim rather than reopening the case with potentially new and unrelated information. This contributes to a more efficient review process, allowing claims to be resolved more promptly. Other options might imply circumstances under which new evidence could be evaluated or suggest limitations that do not align with the strict nature of AMA higher-level reviews.