42 C.F.R. § 422.574

Parties to the organization determination.

Last amended: 2017Year: 2026Length: 96 wordsSubsections: 4Official source

Cite as 42 C.F.R. § 422.574 (2026)

The parties to the organization determination are— (a) The enrollee (including his or her representative); (b) An assignee of the enrollee (that is, a physician or other provider who has furnished a service to the enrollee and formally agrees to waive any right to payment from the enrollee for that service); (c) The legal representative of a deceased enrollee's estate; or (d) Any other provider or entity (other than the MA organization) determined to have an appealable interest in the proceeding. [63 FR 35107, June 26, 1998, as amended at 75 FR 19812, Apr. 15, 2010]
42 C.F.R. § 422.574: Parties to the organization determination. | Justis AI