§424.109. Payment to the beneficiary.
42 C.F.R. § 424.109
Medicare pays the beneficiary for emergency services if the following conditions are met:
The hospital does not have in effect an election to claim payment.
The beneficiary, or someone on his or her behalf, submits—
A claim that meets the requirements of § 424.32;
An itemized hospital bill; and
Evidence requested by CMS to establish that the services meet the requirements of this subpart.
Notes, amendments, and revision history
Authority
Authority: 42 U.S.C. 1302 and 1395hh.
Source
Source: 53 FR 6634, Mar. 2, 1988, unless otherwise noted.