{"data":{"id":"us/42-cfr-422.574","jurisdiction":"us","citation":"42 CFR 422.574","heading":"Parties to the organization determination.","body":"The parties to the organization determination are—\n(a) The enrollee (including his or her representative);\n(b) An assignee of the enrollee (that is, a physician or other provider who has furnished a service to the enrollee and formally agrees to waive any right to payment from the enrollee for that service);\n(c) The legal representative of a deceased enrollee's estate; or\n(d) Any other provider or entity (other than the MA organization) determined to have an appealable interest in the proceeding.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER B—MEDICARE PROGRAM","PART 422—MEDICARE ADVANTAGE PROGRAM","Subpart M—Grievances, Organization Determinations and Appeals"],"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":"22124efbc018474cf2084eff0db906b21b02f0d7809217cddc75fbe4c0bcb2b6","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-422.572","next":"us/42-cfr-422.576"},"notice":"GroundRules: Original legal text. Not legal advice."}