Source: https://www.law.cornell.edu/uscode/text/42/1395b%E2%80%937
Timestamp: 2019-04-23 16:27:04
Document Index: 23641072

Matched Legal Cases: ['§ 1395', '§ 1395', '§ 1395', '§\u202f1395', '§\u202f1806', '§\u202f4311', '§\u202f508', '§\u202f4311', '§\u202f508', '§\u202f925']

42 U.S. Code § 1395b–7 - Explanation of medicare benefits | US Law | LII / Legal Information Institute
U.S. Code › Title 42 › Chapter 7 › Subchapter XVIII › § 1395b–7
42 U.S. Code § 1395b–7 - Explanation of medicare benefits
§ 1395b–7.
(a) In generalThe Secretary shall furnish to each individual for whom payment has been made under this subchapter (or would be made without regard to any deductible) a statement which—
lists the item or service for which payment has been made and the amount of such payment for each item or service; and
includes a notice of the individual’s right to request an itemized statement (as provided in subsection (b)).
(B) Specific allegationsA request for a review of the itemized statement shall identify—
specific items or services that the individual believes were not provided as claimed, or
any other billing irregularity (including duplicate billing).
(Aug. 14, 1935, ch. 531, title XVIII, § 1806, as added Pub. L. 105–33, title IV, § 4311(b)(1), Aug. 5, 1997, 111 Stat. 385; amended Pub. L. 114–10, title V, § 508(a), Apr. 16, 2015, 129 Stat. 169.)
Pub. L. 105–33, title IV, § 4311(b)(3), Aug. 5, 1997, 111 Stat. 386, provided that:
“(A)Statement by secretary.—
Paragraph (1) of section 1806(a) of the Social Security Act [42 U.S.C. 1395b–7(a)(1)], as added by paragraph (1), and the repeal made by paragraph (2) [amending section 1395b–5 of this title] shall take effect on the date of the enactment of this Act [Aug. 5, 1997].
“(B)Itemized statement.—
Paragraph (2) of section 1806(a) and section 1806(b) of the Social Security Act [42 U.S.C. 1395b–7(a)(2), (b)], as so added, shall take effect not later than January 1, 1999.”
Pub. L. 114–10, title V, § 508(b), Apr. 16, 2015, 129 Stat. 169, provided that:
“To the extent to which the Secretary of Health and Human Services determines appropriate, the Secretary shall—
provide such Medicare Summary Notice and any such other statements and notifications on a more frequent basis than is otherwise required under such title.”
Pub. L. 108–173, title IX, § 925, Dec. 8, 2003, 117 Stat. 2396, provided that:
The Secretary [of Health and Human Services] shall provide that in medicare beneficiary notices provided (under section 1806(a) of the Social Security Act, 42 U.S.C. 1395b–7(a)) with respect to the provision of post-hospital extended care services under part A of title XVIII of the Social Security Act [42 U.S.C. 1395c et seq.], there shall be included information on the number of days of coverage of such services remaining under such part for the medicare beneficiary and spell of illness involved.
Subsection (a) shall apply to notices provided during calendar quarters beginning more than 6 months after the date of the enactment of this Act [Dec. 8, 2003].”