42 CFR §422.520(a)
April 29, 2020 5:48 am(a) Contract between CMS and the MA organization. (1) The contract between CMS and the MA organization must provide that... View more
(a) Contract between CMS and the MA organization. (1) The contract between CMS and the MA organization must provide that... View more
(A) Pre-service claims. In the case of a pre-service claim, the plan administrator shall notify the claimant of the plan’s... View more
(b) Timeframes – (1) Requests for service or item. Except as provided in paragraph (b)(1)(i) of this section, when a... View more