42 C.F.R. § 422.578
Current through March 31, 2024
Any party to an organization determination (including one that has been reopened and revised as described in § 422.616 ) may request that the determination be reconsidered under the procedures described in § 422.582 , which address requests for a standard reconsideration. A physician who is providing treatment to an enrollee may, upon providing notice to the enrollee, request a standard reconsideration of a pre-service request for reconsideration on the enrollee's behalf as described in § 422.582 . An enrollee or physician (acting on behalf of an enrollee) may request an expedited reconsideration as described in § 422.584 .
42 C.F.R. §422.578