Code of Federal Regulations (alpha)

CFR /  Title 42  /  Part 422  /  Sec. 422.574 Parties to the organization determination.

The parties to the organization determination are--

(a) The enrollee (including his or her representative);

(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);

(c) The legal representative of a deceased enrollee's estate; or

(d) Any other provider or entity (other than the MA organization) determined to have an appealable interest in the proceeding. [63 FR 35107, June 26, 1998, as amended at 75 FR 19812, Apr. 15, 2010]