Medicare_Carriers_Manual / 2370 / 2370.10_PrivateRight_of_Action.--

Article Overview

This article is a brief Medicare Carriers Manual provision about a beneficiary’s ability to pursue legal action when workers’ compensation coverage does not pay primary benefits and Medicare has made payment instead. It is relevant to Medicare billing and reimbursement professionals, compliance staff, and anyone handling workers’ compensation-related coordination of benefits or payment recovery. The discussion focuses on the statutory basis for the right of action and the Medicare program’s recovery interest if litigation succeeds.