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Insurance Coverage That Limits Medicare Payment: General Provisions | Midpage
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Code of Federal Regulations
Title 42
Chapter IV
Subchapter B
Part 411
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.