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Notes

§411.51. Beneficiary's responsibility with respect to no-fault insurance.

42 C.F.R. § 411.51

(a)
The beneficiary is responsible for taking whatever action is necessary to obtain any payment that can reasonably be expected under no-fault insurance.
(b)
Except as specified in § 411.53, Medicare does not pay until the beneficiary has exhausted his or her remedies under no-fault insurance.
(c)
Except as specified in § 411.53, Medicare does not pay for services that would have been covered by the no-fault insurance if the beneficiary had filed a proper claim.
(d)
However, if a claim is denied for reasons other than not being a proper claim, Medicare pays for the services if they are covered under Medicare.
Notes, amendments, and revision history

Authority

Authority: 42 U.S.C. 1302, 1395w-101 through 1395w-152, 1395hh, and 1395nn.

Source

Source: 54 FR 41734, Oct. 11, 1989, unless otherwise noted.