§ 411.1 Basis and scope
§ 411.2 Conclusive effect of QIO determinations on payment of claims
§ 411.4 Services for which neither the beneficiary nor any other person is legally obligated to pay
§ 411.6 Services furnished by a Federal provider of services or other Federal agency
§ 411.7 Services that must be furnished at public expense under a Federal law or Federal Government contract
§ 411.8 Services paid for by a Government entity
§ 411.9 Services furnished outside the United States
§ 411.10 Services required as a result of war
§ 411.12 Charges imposed by an immediate relative or member of the beneficiary’s household
§ 411.15 Particular services excluded from coverage

Terms Used In CFR > Title 42 > Chapter IV > Subchapter B > Part 411 > Subpart A - General Exclusions and Exclusion of Particular Services

  • Arrest: Taking physical custody of a person by lawful authority.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
  • Statute: A law passed by a legislature.