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Electronic Code of Federal Regulations

e-CFR data is current as of February 20, 2020

Title 42Chapter IVSubchapter BPart 422Subpart M → §422.578


Title 42: Public Health
PART 422—MEDICARE ADVANTAGE PROGRAM
Subpart M—Grievances, Organization Determinations and Appeals


§422.578   Right to a reconsideration.

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.

[74 FR 1542, Jan. 12, 2009]

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