§ 424.109 - Payment to the beneficiary.


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  • § 424.109 Payment to the beneficiary.

    Medicare pays the beneficiary for emergency services if the following conditions are met:

    (a) The hospital does not have in effect an election to claim payment.

    (b) The beneficiary, or someone on his or her behalf, submits -

    (1) A claim that meets the requirements of § 424.32;

    (2) An itemized hospital bill; and

    (3) Evidence requested by CMS to establish that the services meet the requirements of this subpart.