{"data":{"id":"us/42-cfr-405.2472","jurisdiction":"us","citation":"42 CFR 405.2472","heading":"Beneficiary appeals.","body":"A beneficiary may request a hearing by an intermediary (subject to the limitations and conditions set forth in subpart H of this part) if:\n(a) The beneficiary is dissatisfied with a MAC's determination denying a request for payment made on his or her behalf by a RHC or FQHC;\n(b) The beneficiary is dissatisfied with the amount of payment; or\n(c) The beneficiary believes the request for payment is not being acted upon with reasonable promptness.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER B—MEDICARE PROGRAM","PART 405—FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED","Subpart X—Rural Health Clinic and Federally Qualified Health Center Services"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"b9424c9adb71b11833e9bfd2b4e7f8dd114dffe74c4ba01b4c15f4c5296bbc4a","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-405.2470","next":"us/42-cfr-406.1"},"notice":"GroundRules: Original legal text. Not legal advice."}