34 Pa. Code § 127.401

Current through Register Vol. 50, No. 49, December 5, 2020
Section 127.401 - Purpose/review of medical treatment
(a) Section 306(f.1)(6) of the act (77 P. S. § 531(6)) provides a UR process, intended as an impartial review of the reasonableness or necessity of medical treatment rendered to, or proposed for, work-related injuries and illnesses.
(b) UR of medical treatment shall be conducted only by those organizations authorized as UROs by the Secretary, under the process in § § 127.651-127.670 (relating to authorization of UROs and PROs).
(c) UR may be requested by or on behalf of the employer, insurer or employe.
(d) A party, including a health care provider, aggrieved by the UR determination, may file a petition for review of UR, to be heard and decided by a workers' compensation judge.

34 Pa. Code § 127.401