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 69.54 - PRO reporting responsibility
Universal Citation: 31 PA Code ยง 69.54
Current through Register Vol. 54, No. 44, November 2, 2024
(a) A PRO shall submit an annual report to the Commissioner. The report shall include, at a minimum:
(1) The number of
determinations performed.
(2) The
results of initial determinations delineated by the provider and
insurer.
(3) The number of
reconsiderations requested.
(4) The
number of initial determinations overturned.
(5) The number of determinations where the
review period was tolled under §
69.52(d) and (l)
(relating to peer review procedures).
(b) A PRO shall file this report with the Commissioner by March 1 of each year with the information for the preceding calendar year.
(c) The initial annual report is due by March 1, 1992 and shall cover the period from June 1, 1990 through December 31, 1991.
This section cited in 31 Pa. Code § 69.55 (relating to criteria for Department approval of a PRO).
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