Federal (United States) · Regulations
Subpart B — Insurance Coverage That Limits Medicare Payment: General Provisions
15 sections
15 sections
- 42 C.F.R. § 411.20Basis and scope.
- 42 C.F.R. § 411.21Definitions.
- 42 C.F.R. § 411.22Reimbursement obligations of primary payers and entities that received payment from primary payers.
- 42 C.F.R. § 411.23Beneficiary's cooperation.
- 42 C.F.R. § 411.24Recovery of conditional payments.
- 42 C.F.R. § 411.25Primary payer's notice of primary payment responsibility.
- 42 C.F.R. § 411.26Subrogation and right to intervene.
- 42 C.F.R. § 411.28Waiver of recovery and compromise of claims.
- 42 C.F.R. § 411.30Effect of primary payment on benefit utilization and deductibles.
- 42 C.F.R. § 411.31Authority to bill primary payers for full charges.
- 42 C.F.R. § 411.32Basis for Medicare secondary payments.
- 42 C.F.R. § 411.33Amount of Medicare secondary payment.
- 42 C.F.R. § 411.35Limitations 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.
- 42 C.F.R. § 411.37Amount of Medicare recovery when a primary payment is made as a result of a judgment or settlement.
- 42 C.F.R. § 411.39Automobile and liability insurance (including self-insurance), no-fault insurance, and workers' compensation: Final conditional payment amounts via Web portal.