31 Pa. Code § 69.54 - PRO reporting responsibility
(a)
A PRO shall submit an annual report to the Commissioner. The report shall
include, at a minimum:
(1) The number of
determinations performed.
(2) The
results of initial determinations delineated by the provider and
insurer.
(3) The number of
reconsiderations requested.
(4) The
number of initial determinations overturned.
(5) The number of determinations where the
review period was tolled under §
69.52(d) and (l)
(relating to peer review procedures).
(b) A PRO shall file this report with the
Commissioner by March 1 of each year with the information for the preceding
calendar year.
(c) The initial
annual report is due by March 1, 1992 and shall cover the period from June 1,
1990 through December 31, 1991.
Notes
This section cited in 31 Pa. Code § 69.55 (relating to criteria for Department approval of a PRO).
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