CFR › Title 42 › Part 405 › §405.92042 CFR §405.920Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗Copy linkAfter a claim is filed with the appropriate contractor in the manner and form described in subpart C of part 424 of this chapter, the contractor must—(a)Determine if the items and services furnished are covered or otherwise reimbursable under title XVIII of the Act;(b)Determine any amounts payable and make payment accordingly; and(c)Notify the parties to the initial determination of the determination in accordance with § 405.921.