Pennsylvania Code
Title 34 - LABOR AND INDUSTRY
Part VIII - Bureau of Workers' Compensation
Chapter 127 - WORKERS' COMPENSATION MEDICAL COST CONTAINMENT
Subchapter C - MEDICAL TREATMENT REVIEW
PEER REVIEW
Section 127.601 - Peer review-availability
Universal Citation: 34 PA Code ยง 127.601
Current through Register Vol. 54, No. 38, September 21, 2024
(a) A Workers' Compensation judge may obtain an opinion from an authorized PRO concerning the necessity or frequency of treatment rendered under the act when one of the following exist:
(1) A petition for
review of a UR determination has been filed.
(2) It is necessary or appropriate in other
litigation proceedings before the Worker's Compensation judge. Peer review
shall be deemed not to be necessary or appropriate if there is a pending UR of
the same treatment.
(b) Nothing in subsection (a) requires a Workers' Compensation judge to grant a party's motion for peer review.
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