---
kind: "section"
citation: "42 C.F.R. § 424.109"
title: "42"
number: "424.109"
heading: "Payment to the beneficiary."
url: "https://uscodex.org/cfr/42/424.109"
---

# §424.109. Payment to the beneficiary.


Medicare pays the beneficiary for emergency services if the following conditions are met:

- (a) **The hospital does not have in effect an election to claim payment.**
- (b) **The beneficiary, or someone on his or her behalf, submits—**
  - (1) A claim that meets the requirements of [§ 424.32](/cfr/42/424.32.md);
  - (2) An itemized hospital bill; and
  - (3) **Evidence requested by CMS to establish that the services meet the requirements of this subpart.**

## Notes

### Authority

Authority: 42 U.S.C. 1302 and 1395hh.

### Source

Source: 53 FR 6634, Mar. 2, 1988, unless otherwise noted.