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-INITIAL REQUEST
- Section 127.451 - Initial requests for UR-who may file
- Section 127.452 - Initial requests for UR-filing and service
- Section 127.453 - Initial requests for UR-assignment by the Bureau
- Section 127.454 - Initial requests for UR-reassignment
- Section 127.455 - Initial requests for UR-conflicts of interest
- Section 127.456 - Initial requests for UR-withdrawal
- Section 127.457 - Time for requesting medical records
- Section 127.458 - Obtaining authorization to release medical records
- Section 127.459 - Obtaining medical records-provider under review
- Section 127.460 - Obtaining medical records-other treating providers
- Section 127.461 - Obtaining medical records-independent medical exams
- Section 127.462 - Obtaining medical records-duration of treatment
- Section 127.463 - Obtaining medical records-reimbursement of costs to provider
- Section 127.464 - Effect of failure of provider under review to supply records
- Section 127.465 - Initial requests for UR-deadline for URO determination
- Section 127.466 - Assignment of UR request to reviewer by URO
- Section 127.467 - Duties of reviewers-generally
- Section 127.468 - Duties of reviewers-conflict of interest
- Section 127.469 - Duties of reviewers-consultation with provider under review
- Section 127.470 - Duties of reviewers-issues reviewed
- Section 127.471 - Duties of reviewers-finality of decisions
- Section 127.472 - Duties of reviewers-content of records
- Section 127.473 - Duties of reviewers-signature and verification
- Section 127.474 - Duties of reviewers-forwarding report and records to URO
- Section 127.475 - Duties of UROs-review of report
- Section 127.476 - Duties of UROs-form and service of determinations
- Section 127.477 - Payment for initial requests for UR
- Section 127.478 - Record retention requirements for UROs
- Section 127.479 - Determination against insurer-payment of medical bills
- Section 127.501-127.515 - Reserved
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