34 Pa. Code § 127.469

Current through Register Vol. 54, No. 49, December 7, 2024

Section 127.469 - Duties of reviewers-consultation with provider under review

The URO shall give the provider under review written notice of the opportunity to discuss treatment decisions with the reviewer. The reviewer shall initiate discussion with the provider under review when such a discussion will assist the reviewer in reaching a determination. If the provider under review declines to discuss treatment decisions with the reviewer, a determination shall be made in the absence of such a discussion.