42 C.F.R. § 405.928   Effect of the initial determination.


Title 42 - Public Health


Title 42: Public Health
PART 405—FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED
Subpart I—Determinations, Redeterminations, Reconsiderations, and Appeals Under Original Medicare (Part A and Part B)
Initial Determinations

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§ 405.928   Effect of the initial determination.

(a) An initial determination described in §405.924(a) is binding unless it is revised or reconsidered in accordance with 20 CFR 404.907, or revised as a result of a reopening in accordance with 20 CFR 404.988.

(b) An initial determination described in §405.924(b) is binding upon all parties to the initial determination unless—

(1) A redetermination is completed in accordance with §405.940 through §405.958; or

(2) The initial determination is revised as a result of a reopening in accordance with §405.980.

(c) An initial determination listed in §405.924(b) where a party submits a timely, valid request for redetermination under §405.942 through §405.944 must be processed as a redetermination under §405.948 through §405.958 unless the initial determination involves a clerical error or other minor error or omission.

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