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Regulations last checked for updates: Jun 15, 2025
Title 42 - Public Health last revised: Jun 03, 2025
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Title 42
Chapter IV
Part 411
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 - Amount of Medicare recovery when a primary payment is made as a result of a judgment or settlement.
§ 411.39 - Automobile and liability insurance (including self-insurance), no-fault insurance, and workers' compensation: Final conditional payment amounts via Web portal.
authority:
42 U.S.C. 1302
,
1395w
,
1395hh
,
and
source:
54 FR 41734, Oct. 11, 1989, unless otherwise noted.
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