# 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 — Federal civil penalty maximums — current inflation-adjusted amounts across agencies

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, not quoted from the source)_
- **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: appears in the quote below)_
- **Statutory authority:** 1395y(b)(6)(B) _(verified: appears in the quote below)_
- **Maximum penalty:** 4,224 _(verified: appears in the quote below)_

## 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

## Source

- https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-102/section-102.3

Last verified: 2026-08-10. Review by: 2027-02-26.
Part of [Federal civil penalty maximums — current inflation-adjusted amounts across agencies](https://referencesource.org/federal-civil-penalty-maximums/).