42 C.F.R. § 424.109 Payment to the beneficiary.
Title 42 - Public Health
Medicare pays the beneficiary for emergency services if the following conditions are met: (a) The hospital does not have in effect an election to claim payment. (b) The beneficiary, or someone on his or her behalf, submits— (1) A claim that meets the requirements of §424.32; (2) An itemized hospital bill; and (3) Evidence requested by CMS to establish that the services meet the requirements of this subpart.
Title 42: Public Health
PART 424—CONDITIONS FOR MEDICARE PAYMENT
Subpart G—Special Conditions: Emergency Services Furnished by a Nonparticipating Hospital
§ 424.109 Payment to the beneficiary.
