42 C.F.R. § 422.574

Current through March 31, 2024
Section 422.574 - Parties to the organization determination

The parties to the organization determination are-

(a) The enrollee (including his or her representative);
(b) An assignee of the enrollee (that is, a physician or other provider who has furnished a service to the enrollee and formally agrees to waive any right to payment from the enrollee for that service);
(c) The legal representative of a deceased enrollee's estate; or
(d) Any other provider or entity (other than the MA organization) determined to have an appealable interest in the proceeding.

42 C.F.R. §422.574

63 FR 35107, June 26, 1998, as amended at 75 FR 19812, Apr. 15, 2010