StacksVerified U.S. regulatory reference

42 CFR §422.574

Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
The parties to the organization determination are—
  1. (a)The enrollee (including his or her representative);
  2. (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);
  3. (c)The legal representative of a deceased enrollee's estate; or
  4. (d)Any other provider or entity (other than the MA organization) determined to have an appealable interest in the proceeding.