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
UR-GENERAL REQUIREMENTS
Section 127.407 - Extent of review of medical records
Universal Citation: 34 PA Code ยง 127.407
Current through Register Vol. 54, No. 38, September 21, 2024
(a) In order to determine the reasonableness or necessity of the treatment under review, UROs shall obtain for review all available records of all treatment rendered by all providers to the employe for the work-related injury. However, the UR determination shall be limited to the treatment that is subject to review by the request.
(b) UROs may not obtain or review medical records of treatment which are not related to the work injury.
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