42 C.F.R. § 416.150   Beneficiary appeals.


Title 42 - Public Health


Title 42: Public Health
PART 416—AMBULATORY SURGICAL SERVICES
Subpart E—Payment for Facility Services

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§ 416.150   Beneficiary appeals.

A beneficiary (or ASC as his or her assignee) may request a hearing by a carrier (subject to the limitations and conditions set forth in part 405, subpart H of this chapter) if the beneficiary or the ASC—

(a) Is dissatisfied with a carrier's denial of a request for payment made on his or her behalf by an ASC;

(b) Is dissatisfied with the amount of payment; or

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

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