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 127.607 - Peer review-conflicts of interest
Universal Citation: 34 PA Code ยง 127.607
Current through Register Vol. 54, No. 38, September 21, 2024
(a) A PRO shall return a request for peer review to the Bureau for reassignment if the following apply:
(1) The PRO has a previous involvement with
the patient or provider under review in the same matter.
(2) The PRO has performed precertification
functions in the same matter.
(3)
The PRO has provided case management services in the same matter.
(4) The PRO has provided vocational
rehabilitation services in the same matter.
(5) The PRO is owned by or has a contractual
relationship with any party subject to the review.
(b) A PRO shall inform the reviewer assigned to perform peer review of the reviewer's obligation to notify the PRO of any potential or realized conflicts arising under § 127.615 (relating to duties of reviewers-conflict of interest)
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