Medicare Claims Processing Manual (Pub. 100-04), Ch. 30 § 100
Indemnification Procedures for Claims Falling Within the
100 - Indemnification Procedures for Claims Falling Within the
Limitation on Liability Provision
(Rev. 1, 10-01-03)
Section 1879(b) of the Act provides that when a provider, practitioner, or supplier is held
liable for the payment of expenses incurred by a beneficiary for noncovered items or
services and such provider, practitioner, or supplier requests and receives payment from
the beneficiary or any person(s) who assumed financial responsibility for payment of
expenses, the Medicare program indemnifies the beneficiary or other person(s).
Further, any such indemnification payments are considered overpayments to the provider,
practitioner, or supplier.
A provider, practitioner, or supplier who is determined liable may not seek payment from
a third party payer. (See §30.2.B.)