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Evidence of authority to sign on behalf of the beneficiary.

42 CFR § 424.37

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42 CFR § 424.37

42 CFR § 424.37

Evidence of authority to sign on behalf of the beneficiary.

(a)

Beneficiary incapable. When a party specified in § 424.36(b) signs a claim or request for payment statement, he or she must also submit a brief statement that—

(1)

Describes his or her relationship to the beneficiary; and

(2)

Explains the circumstances that make it impractical for the beneficiary to sign the claim or statement.

(b)

Beneficiary not present for services. When a representative of the provider, nonparticipating hospital, or supplier signs a claim or request for payment statement under § 424.36(c), he or she must explain why it was not possible to obtain the beneficiary's signature. (For example: “Patient not physically present for test.”)