{"data":{"id":"us/5-cfr-890.1061","jurisdiction":"us","citation":"5 CFR 890.1061","heading":"Bases for penalties and assessments.","body":"(a) Improper claims. OPM may impose penalties and assessments on a provider if a claim presented by that provider for payment from FEHBP funds meets the criteria set forth in 5 U.S.C. 8902a(d)(1).\n(b) False or misleading statements. OPM may impose penalties and assessments on a provider who makes a false statement or misrepresentation as set forth in 5 U.S.C. 8902a(d)(2).\n(c) Failing to provide claims-related information. OPM may impose penalties and assessments on a provider who knowingly fails to provide claims-related information as otherwise required by law.","path":["Title 5—Administrative Personnel","CHAPTER I—OFFICE OF PERSONNEL MANAGEMENT","SUBCHAPTER B—CIVIL SERVICE REGULATIONS","PART 890—FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM","Subpart J—Administrative Sanctions Imposed Against Health Care Providers"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-5.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:23:53Z","sha256":"925e08902f2ea83808bc08ddc99fb735054d100e26b58bceb2033e4d63b76343","source_id":"us-cfr","stale":true,"prev":"us/5-cfr-890.1060","next":"us/5-cfr-890.1062"},"notice":"GroundRules: Original legal text. Not legal advice."}