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Code of Federal Regulations
C.F.R. Title 42—Public Health
CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
SUBCHAPTER B—MEDICARE PROGRAM
PART 422—MEDICARE ADVANTAGE PROGRAM
Subpart X—Requirements for a Minimum Medical Loss Ratio

42 C.F.R. § 422.2401

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Definitions.

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§ 422.2401 Definitions.

Non-claims costs means those expenses for administrative services that are not—

(1) Incurred claims (as provided in § 422.2420(b)(2) through (4));

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Source: 78 FR 31307, May 23, 2013; 78 FR 43821, July 22, 2013

Table of Contents

Subpart X—Requirements for a Minimum Medical Loss Ratio

§422.2400 Basis and scope.
§422.2401 Definitions.
§422.2410 General requirements.
§422.2420 Calculation of the medical loss ratio.
§422.2430 Activities that improve health care quality.
§422.2440 Credibility adjustment.
§422.2450 [Reserved]
§422.2460 Reporting requirements.
§422.2470 Remittance to CMS if the applicable MLR requirement is not met.
§422.2480 MLR review and non-compliance.
§422.2490 Release of Part C MLR data.

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