Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 350.6
Failure to Pay Primary Benefits
350.6 - Failure to Pay Primary Benefits
(Rev. 4, 10-01-01)
Any claimant, including an individual who received services and the provider or supplier,
has the right to take legal action against an LGHP that fails to pay primary benefits for
services covered by both the LGHP and Medicare, and to collect double damages.