42 CFR § 424.37 - Evidence of authority to sign on behalf of the beneficiary.
---
identifier: "/us/cfr/t42/s424.37"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 424.37 - Evidence of authority to sign on behalf of the beneficiary."
title_number: 42
title_name: "Public Health"
section_number: "424.37"
section_name: "Evidence of authority to sign on behalf of the beneficiary."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "B"
subchapter_name: "MEDICARE PROGRAM"
part_number: "424"
part_name: "CONDITIONS FOR MEDICARE PAYMENT"
positive_law: false
currency: "2026-04-05"
last_updated: "2026-04-05"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 1302 and 1395hh."
regulatory_source: "53 FR 6634, Mar. 2, 1988, unless otherwise noted."
cfr_part: "424"
---
# 424.37 Evidence of authority to sign on behalf of the beneficiary.
(a) *Beneficiary incapable.* When a party specified in § 424.36(b) signs a claim or request for payment statement, he or she must also submit a brief statement that—
(1) Describes his or her relationship to the beneficiary; and
(2) Explains the circumstances that make it impractical for the beneficiary to sign the claim or statement.
(b) *Beneficiary not present for services.* When a representative of the provider, nonparticipating hospital, or supplier signs a claim or request for payment statement under § 424.36(c), he or she must explain why it was not possible to obtain the beneficiary's signature. (For example: “Patient not physically present for test.”)
[53 FR 6640, Mar. 2, 1988; 53 FR 12945, Apr. 20, 1988]