Final settlement process and payment.

§ 422.528 Final settlement process and payment.

(a) Notice of final settlement. After the calculation of the final settlement amount, CMS sends the MA organization a notice of final settlement. The notice of final settlement contains at least all of the following information:

(1) A final settlement amount, which may be either an amount due to the MA organization, or an amount due from the MA organization, or $0 if nothing is due to or from the MA organization, for the contract that has been consolidated, nonrenewed, or terminated.

(2) Relevant banking and financial mailing instructions for MA organizations that owe CMS a final settlement amount.

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