';


Title 42 Part 476 → Subpart C → §476.83

Title 42 → Chapter IV → Subchapter F → Part 476 → Subpart C → §476.83

Electronic Code of Federal Regulations e-CFR

Title 42 Part 476 → Subpart C → §476.83

e-CFR data is current as of November 19, 2019

Title 42Chapter IVSubchapter FPart 476Subpart C → §476.83


Title 42: Public Health
PART 476—QUALITY IMPROVEMENT ORGANIZATION REVIEW
Subpart C—Review Responsibilities of Quality Improvement Organizations (QIOs)


§476.83   Initial denial determinations.

A determination by a QIO that the health care services furnished or proposed to be furnished to a patient are not medically necessary, are not reasonable, or are not at the appropriate level of care, is an initial denial determination and is appealable under part 473 of this chapter.


© e-CFR 2019

FR | USC | CFR | eCFR