GroundRules
42 CFR 424.37: Evidence of authority to sign on behalf of the beneficiary.
Where this section sits in the code
- Title 42—Public Health
- CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
- SUBCHAPTER B—MEDICARE PROGRAM
- PART 424—CONDITIONS FOR MEDICARE PAYMENT
- Subpart C—Claims for Payment
(a) Beneficiary incapable. When a party specified in § 424.36(b) signs a claim or request for payment statement, he or she must also submit a brief statement that—
(1) Describes his or her relationship to the beneficiary; and
(2) Explains the circumstances that make it impractical for the beneficiary to sign the claim or statement.
(b) Beneficiary not present for services. When a representative of the provider, nonparticipating hospital, or supplier signs a claim or request for payment statement under § 424.36(c), he or she must explain why it was not possible to obtain the beneficiary's signature. (For example: “Patient not physically present for test.”)
Collected 2026-08-27T02:26:11Z. Source file · JSON