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US · guidance

CMS Pub. 100-16, ch. mc86c17b, § 350.6

Failure to Pay Primary Benefits

activein force · 2026-08-25 – presentas-observed

Any claimant, including an individual who received services and the provider or supplier,

has the right to take legal action against an LGHP that fails to pay primary benefits for

services covered by both the LGHP and Medicare, and to collect double damages.

History

(Rev. 4, 10-01-01)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
029085eab6c043ab2983ba3b5cafbe3141f3f5d5b43ddb62f858965dee7cd672
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