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Social Security Act

The foundational federal law that established many government programs, including Social Security and Medicare.

Title XVIII

The specific section of the Social Security Act that outlines the rules and structure of the Medicare program.

Group Health Plan

A health insurance plan typically offered by an employer or employee organization to its workers and their families.

Primary Payment

The responsibility of one health insurance plan (like a group health plan) to pay for a patient's medical services before another plan (like Medicare) is required to pay.

Private Cause of Action

A legal right that allows an individual or entity to sue another party in court to recover damages or enforce a legal obligation.

Reimbursement

The act of paying back money, especially when one party (like Medicare) has covered expenses that another party (like a group health plan) was supposed to pay.