Denial of Payment to Beneficiaries and Others

40.31 - Denial of Payment to Beneficiaries and Others (Rev. 160, Issued: 10-26-12, Effective: 01-28-13, Implementation: 01-28-13) If a beneficiary submits a claim that includes items or services furnished by an opt-out physician or practitioner on dates on or after the effective date of opt out by such physician or practitioner, the Medicare contractor must deny such items or services except as permitted by §40.6.