Title 42

PART 411 SUBPART B

Subpart B - Insurance Coverage That Limits Medicare Payment: General Provisions

• 42 U.S.C. 1302, 1395w-101 through 1395w-152, 1395hh, and 1395nn.
• 54 FR 41734, Oct. 11, 1989, unless otherwise noted.

42:2.0.1.2.12.2.35.1	SECTION 411.20	411.20 Basis and scope.
42:2.0.1.2.12.2.35.2	SECTION 411.21	411.21 Definitions.
42:2.0.1.2.12.2.35.3	SECTION 411.22	411.22 Reimbursement obligations of primary payers and entities that received payment from primary payers.
42:2.0.1.2.12.2.35.4	SECTION 411.23	411.23 Beneficiary's cooperation.
42:2.0.1.2.12.2.35.5	SECTION 411.24	411.24 Recovery of conditional payments.
42:2.0.1.2.12.2.35.6	SECTION 411.25	411.25 Primary payer's notice of primary payment responsibility.
42:2.0.1.2.12.2.35.7	SECTION 411.26	411.26 Subrogation and right to intervene.
42:2.0.1.2.12.2.35.8	SECTION 411.28	411.28 Waiver of recovery and compromise of claims.
42:2.0.1.2.12.2.35.9	SECTION 411.30	411.30 Effect of primary payment on benefit utilization and deductibles.
42:2.0.1.2.12.2.35.10	SECTION 411.31	411.31 Authority to bill primary payers for full charges.
42:2.0.1.2.12.2.35.11	SECTION 411.32	411.32 Basis for Medicare secondary payments.
42:2.0.1.2.12.2.35.12	SECTION 411.33	411.33 Amount of Medicare secondary payment.
42:2.0.1.2.12.2.35.13	SECTION 411.35	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.
42:2.0.1.2.12.2.35.14	SECTION 411.37	411.37 Amount of Medicare recovery when a primary payment is made as a result of a judgment or settlement.
42:2.0.1.2.12.2.35.15	SECTION 411.39	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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