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  1. Regulations
    All Titles
  2. title 42
    Public Health
  3. chapter IV
    CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  4. part 411
    PART 411—EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE PAYMENT
  5. subpart B
    Subpart B—Insurance Coverage That Limits Medicare Payment: General Provisions

Subpart B. Subpart B—Insurance Coverage That Limits Medicare Payment: General Provisions

  • § 411.20 - Basis and scope.
  • § 411.21 - Definitions.
  • § 411.22 - Reimbursement obligations of primary payers and entities that received payment from primary payers.
  • § 411.23 - Beneficiary's cooperation.
  • § 411.24 - Recovery of conditional payments.
  • § 411.25 - Primary payer's notice of primary payment responsibility.
  • § 411.26 - Subrogation and right to intervene.
  • § 411.28 - Waiver of recovery and compromise of claims.
  • § 411.30 - Effect of primary payment on benefit utilization and deductibles.
  • § 411.31 - Authority to bill primary payers for full charges.
  • § 411.32 - Basis for Medicare secondary payments.
  • § 411.33 - Amount of Medicare secondary payment.
  • § 411.35 - Limitations 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.
  • § 411.37 -
  • § 411.39 - Automobile and liability insurance (including self-insurance), no-fault insurance, and workers' compensation: Final conditional payment amounts via Web portal.
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