§424.53. Payment to the beneficiary.
42 C.F.R. § 424.53
Medicare pays the beneficiary for the following services, if covered, in the specified circumstances:
Emergency inpatient and outpatient services furnished by a nonparticipating U.S. hospital that has not elected to claim payment in accordance with subpart G of this part.
Certain medical and other health services covered under Medicare Part B and furnished by a nonparticipating U.S. hospital, if the hospital does not receive assigned payment as a supplier under § 424.55.
Emergency or nonemergency services furnished by a foreign hospital if the hospital does not have in effect an election to claim payment in accordance with subpart H of this part.
Physician and ambulance services furnished outside the United States.
Services furnished by a supplier if the claim has not been assigned to the supplier.
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.