§ 423.301 Scope
§ 423.308 Definitions and terminology
§ 423.315 General payment provisions
§ 423.322 Requirement for disclosure of information
§ 423.329 Determination of payments
§ 423.336 Risk-sharing arrangements
§ 423.343 Retroactive adjustments and reconciliations
§ 423.346 Reopening
§ 423.350 Payment appeals
§ 423.352 CMS-identified overpayments associated with payment data submitted by Part D sponsors
§ 423.360 Reporting and returning of overpayments

Terms Used In CFR > Title 42 > Chapter IV > Subchapter B > Part 423 > Subpart G - Payments to Part D Plan Sponsors for Qualified Prescription Drug Coverage

  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • 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
  • Contract: A legal written agreement that becomes binding when signed.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fraud: Intentional deception resulting in injury to another.
  • 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.
  • Oversight: Committee review of the activities of a Federal agency or program.
  • 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.
  • Testimony: Evidence presented orally by witnesses during trials or before grand juries.
  • Uphold: The decision of an appellate court not to reverse a lower court decision.