Code of Federal Regulations (Last Updated: November 8, 2024) |
Title 42 - Public Health |
Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
SubChapter B - Medicare Program |
Part 411 - Exclusions from Medicare and Limitations on Medicare Payment |
Subpart B - Insurance Coverage That Limits Medicare Payment: General Provisions |
§ 411.20 - Basis and scope. |
§ 411.21 - Definitions. |
§ 411.22 - Reimbursement obligations of primary payers and entities that received payment from primary payers. |
§ 411.23 - Beneficiary's cooperation. |
§ 411.24 - Recovery of conditional payments. |
§ 411.25 - Primary payer's notice of primary payment responsibility. |
§ 411.26 - Subrogation and right to intervene. |
§ 411.28 - Waiver of recovery and compromise of claims. |
§ 411.30 - Effect of primary payment on benefit utilization and deductibles. |
§ 411.31 - Authority to bill primary payers for full charges. |
§ 411.32 - Basis for Medicare secondary payments. |
§ 411.33 - Amount of Medicare secondary payment. |
§ 411.35 - Limitations on charges to a beneficiary or other party when a workers' compensation plan, a no-fault insurer, or an employer group health plan is primary payer. |
§ 411.37 - Amount of Medicare recovery when a primary payment is made as a result of a judgment or settlement. |
§ 411.39 - Automobile and liability insurance (including self-insurance), no-fault insurance, and workers' compensation: Final conditional payment amounts via Web portal. |