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  1. LII
  2. Electronic Code of Federal Regulations (e-CFR)
  3. Title 42—Public Health
  4. CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  5. SUBCHAPTER B—MEDICARE PROGRAM
  6. PART 411—EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE PAYMENT
  7. Subpart B—Insurance Coverage That Limits Medicare Payment: General Provisions

42 CFR Part 411 - Subpart B - Insurance Coverage That Limits Medicare Payment: General Provisions

  • CFR
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  1. § 411.20 Basis and scope.
  2. § 411.21 Definitions.
  3. § 411.22 Reimbursement obligations of primary payers and entities that received payment from primary payers.
  4. § 411.23 Beneficiary's cooperation.
  5. § 411.24 Recovery of conditional payments.
  6. § 411.25 Primary payer's notice of primary payment responsibility.
  7. § 411.26 Subrogation and right to intervene.
  8. § 411.28 Waiver of recovery and compromise of claims.
  9. § 411.30 Effect of primary payment on benefit utilization and deductibles.
  10. § 411.31 Authority to bill primary payers for full charges.
  11. § 411.32 Basis for Medicare secondary payments.
  12. § 411.33 Amount of Medicare secondary payment.
  13. § 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.
  14. § 411.37 Amount of Medicare recovery when a primary payment is made as a result of a judgment or settlement.
  15. § 411.39 Automobile and liability insurance (including self-insurance), no-fault insurance, and workers' compensation: Final conditional payment amounts via Web portal.

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