---
kind: "section"
citation: "45 C.F.R. § 800.501"
title: "45"
number: "800.501"
heading: "General requirements."
url: "https://uscodex.org/cfr/45/800.501"
---

# §800.501. General requirements.

- (a) **Definitions.** For purposes of this subpart:
  - (1) **Adverse benefit determination—** has the meaning given that term in [45 CFR 147.136(a)(2)(i)](/cfr/45/147.136.md?p=a-2-i).
  - (2) Claim means a request for:
    - (i) Payment of a health-related bill; or
    - (ii) **Provision of a health-related service or supply.**
- (b) **Applicability.** This subpart applies to enrollees and to other individuals or entities who are acting on behalf of an enrollee and who have the enrollee's specific written consent to pursue a remedy of an adverse benefit determination.

## Notes

### Authority

Authority: Sec. 1334 of Pub. L. 111-148, 124 Stat. 119; Pub. L. 111-152, 124 Stat. 1029 (42 U.S.C. 18054).

### Source

Source: 80 FR 9655, Feb. 24, 2015; 80 FR 16577, Mar. 30, 2015, unless otherwise noted.