Reference Source

Penalty for any entity that knowingly, willfully, and repeatedly fails to complete a claim form relating to the availability of other health benefits in accordance with statute or provides inaccurate information relating to such on the claim form

For Penalty for any entity that knowingly, willfully, and repeatedly fails to complete a claim form relating to the availability of other health benefits in accordance with statute or provides inaccurate information relating to such on the claim form, agency is HHS; statutory authority is 1395y(b)(6)(B); maximum penalty is 4,224, recorded from its source on 2026-08-10.

Agency
HHS our reading
Violation
Penalty for any entity that knowingly, willfully, and repeatedly fails to complete a claim form relating to the availability of other health benefits in accordance with statute or provides inaccurate information relating to such on the claim form verified
Statutory authority
1395y(b)(6)(B) verified
Maximum penalty
4,224 verified
Sourceecfr.gov
Verified
Review by
DatasetFederal civil penalty maximums — current inflation-adjusted amounts across agencies

Values marked our reading are our classification of what the source says — the source does not print them in those words. The quote below is the evidence for each one; judge it yourself.

What the source says

1395y(b)(6)(B) | <https://www.ecfr.gov/current/title-42/section-402.1#p-402.1(c)(20)> 42 CFR 402.1(c)(20) , <https://www.ecfr.gov/current/title-42/section-402.105#p-402.105(a)> 402.105(a) | CMS | Penalty for any entity that knowingly, willfully, and repeatedly fails to complete a claim form relating to the availability of other health benefits in accordance with statute or provides inaccurate information relating to such on the claim form | 2024 | 4,117 | 4,224

ecfr.gov, retrieved 2026-08-10

Source

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