Code of Federal Regulations Title 42. Public Health § 42.411.22 Reimbursement obligations of primary payers and entities that received payment from primary payers

(1) A judgment;

(2) A payment conditioned upon the beneficiary’s compromise, waiver, or release (whether or not there is a determination or admission of liability) of payment for items or services included in a claim against the primary payer or the primary payer's insured;  or

(3) By other means, including but not limited to a settlement, award, or contractual obligation.

(1) To the entity designated to receive repayments if the demonstration of primary payer responsibilities is other than receipt of a recovery demand letter from CMS or designated contractor.

(2) As directed in a recovery demand letter.