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Federal regulations · Through 2026-08-25 · Newer source version available

20 CFR 725.713: If a fee is reduced, may a provider bill the claimant for the balance?

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Where this section sits in the code
  1. Title 20—Employees' Benefits
  2. CHAPTER VI—OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR
  3. SUBCHAPTER B—FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, AS AMENDED
  4. PART 725—CLAIMS FOR BENEFITS UNDER PART C OF TITLE IV OF THE FEDERAL MINE SAFETY AND HEALTH ACT, AS AMENDED
  5. Subpart J—Medical Benefits and Vocational Rehabilitation

Where a provider submits a bill to OWCP and OWCP has reduced the provider's fee, the miner is not responsible for any additional payment for services or treatments covered under this subpart. Thus, a provider whose fee for service is partially paid by OWCP as a result of the application of the provisions of §§ 725.707-725.711 or otherwise in accordance with this subpart may not request reimbursement from the miner for additional amounts.

Collected 2026-08-27T02:24:45Z. Source file · JSON

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