Code of Federal Regulations · Section

§ 405.2472 — Beneficiary Appeals

42 C.F.R. § 405.2472

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A beneficiary may request a hearing by an intermediary (subject to the limitations and conditions set forth in subpart H of this part) if:

(a) The beneficiary is dissatisfied with a MAC's determination denying a request for payment made on his or her behalf by a RHC or FQHC;

(b) The beneficiary is dissatisfied with the amount of payment; or

(c) The beneficiary believes the request for payment is not being acted upon with reasonable promptness.

42 C.F.R. § 405.2470

Authorizing Statute