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Code of Federal Regulations (Last Updated: July 5, 2024) |
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Title 42 - Public Health |
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Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
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SubChapter B - Medicare Program |
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Part 417 - Health Maintenance Organizations, Competitive Medical Plans, and Health Care Prepayment Plans |
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Subpart R - Medicare Contract Appeals |
§ 417.646 - Effect of initial determination.
Latest version.
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The initial determination is final and binding on all parties unless—
(a) It is reconsidered in accordance with §§ 417.648 through 417.658;
(b) In the case of an initial determination described in § 417.640(c), a request for a hearing is filed; or
(c) It is revised as a result of a reopening under § 417.692.