424.109—Payment to the beneficiary.
Medicare pays the beneficiary for emergency services if the following conditions are met:
(a)
The hospital does not have in effect an election to claim payment.
(b)
The beneficiary, or someone on his or her behalf, submits—
(1)
A claim that meets the requirements of § 424.32 ;
(2)
An itemized hospital bill; and
(3)
Evidence requested by CMS to establish that the services meet the requirements of this subpart.