Section 424.86 - Prohibition of assignment of claims by beneficiaries(a)Basic prohibition. Except as specified in paragraph (b) of this section, Medicare does not pay amounts that are due a beneficiary under § 424.53 to any other person under assignment, power of attorney, or any other direct payment arrangement.(b)Exceptions - (1)Payment to a government agency or entity. Subject to the requirements of the Assignment of Claims Act (31 U.S.C. 3727 ), Medicare may pay a government agency or entity under an assignment by a beneficiary (or by the beneficiary's legal guardian or representative payee).(2)Payment under an assignment established by court order. Medicare may pay under an assignment established by, or in accordance with, a court order if the assignment meets the conditions set forth in § 424.90 .