Pennsylvania Code
Title 31 - INSURANCE
Part II - Automobile Insurance
Chapter 69 - MOTOR VEHICLE FINANCIAL RESPONSIBILITY LAW
Subchapter A - AUTOMOBILE INSURANCE MEDICAL COST CONTAINMENT
PEER REVIEW
Section 69.51 - Authority
Universal Citation: 31 PA Code ยง 69.51
Current through Register Vol. 54, No. 44, November 2, 2024
A PRO has the authority to evaluate the reasonableness and medical necessity of care, and the professional standards of performance including the appropriateness of the setting where the care is rendered, and the appropriateness of the delivery of the care rendered.
This section cited in 31 Pa. Code § 69.55 (relating to criteria for Department approval of a PRO).
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