Section 127.401. Purpose/review of medical treatment

Section 127.402. Treatment subject to review

Section 127.403. Assignment of cases to UROs by the Bureau

Section 127.404. Prospective, concurrent and retrospective review

Section 127.405. UR of medical treatment in medical only cases

Section 127.406. Scope of review of UROs

Section 127.407. Extent of review of medical records

Section 127.451. Requests for UR—who may file

Section 127.452. Requests for UR—filing and service

Section 127.453. Requests for UR—assignment by the Bureau

Section 127.454. Requests for UR—reassignment

Section 127.455. Requests for UR—conflicts of interest

Section 127.456. Requests for UR—withdrawal

Section 127.457. Time for requesting medical records

Section 127.458. Obtaining authorization to release medical records

Section 127.459. Obtaining medical records—provider under review

Section 127.460. Obtaining medical records—other treating providers

Section 127.461. Obtaining medical records—independent medical exams

Section 127.462. Obtaining medical records—duration of treatment

Section 127.463. Obtaining medical records—reimbursement of costs of provider

Section 127.464. Effect of failure of provider under review to supply records

Section 127.465. Requests for UR—deadline for URO determination

Section 127.466. Assignment of UR request to reviewer by URO

Section 127.467. Duties of reviewers—generally

Section 127.468. Duties of reviewers—conflict of interest

Section 127.469. Duties of reviewers—consultation with provider under review

Section 127.470. Duties of reviewers—issues reviewed

Section 127.471. Duties of reviewers—finality of decisions

Section 127.472. Duties of reviewers—content of reports

Section 127.473. Duties of reviewers—signature and verification

Section 127.474. Duties of reviewers—forwarding report and records to URO

Section 127.475. Duties of UROs—review of report

Section 127.476. Duties of UROs—form and service of determinations

Section 127.477. Payment for request for UR

Section 127.478. Record retention requirements for UROs

Section 127.479. Determination against insurer—payment of medical bills

Sections 127.501—127.515. [Reserved]

Section 127.551. Petition for review by Bureau of UR determination

Section 127.552. Petition for review by Bureau—time for filing

Section 127.553. Petition for review by Bureau—notice of assignment and service by Bureau

Section 127.554. Petition for Review by Bureau—no answer allowed

Section 127.555. Petition for review by Bureau—transmission of URO records to workers’ compensation judge

Section 127.556. Petition for Review by Bureau—de novo hearing

Section 127.601. Peer review—availability

Section 127.602. Peer review—procedure upon motion of party

Section 127.603. Peer review—interlocutory ruling

Section 127.604. Peer review—forwarding of request to Bureau

Section 127.605. Peer review—assignment by the Bureau

Section 127.606. Peer review—reassignment

Section 127.607. Peer review—conflicts of interest

Section 127.608. Peer review—withdrawal

Section 127.609. Obtaining medical records

Section 127.610. Obtaining medical records—independent medical exams

Section 127.611. Obtaining medical records—duration of treatment

Section 127.612. Effect of failure of provider under review to supply records

Section 127.613. Assignment of peer review request to reviewer by PRO

Section 127.614. Duties of reviewers—generally

Section 127.615. Duties of reviewers—conflict of interest

Section 127.616. Duties of reviewers—consultation with provider under review

Section 127.617. Duties of reviewers—issues reviewed

Section 127.618. Duties of reviewers—finality of decisions

Section 127.619. Duties of reviewers—content of reports

Section 127.620. Duties of reviewers—signature and verification

Section 127.621. Duties of reviewers—forwarding report and records to PRO

Section 127.622. Duties of PRO—review of report

Section 127.623. Peer review—deadline for PRO determination

Section 127.624. PRO reports—filing with judge and service

Section 127.625. Record retention requirements for PROs

Section 127.626. PRO reports—evidence

Section 127.627. PRO reports—payment

Section 127.651. Application

Section 127.652. Contents of an application to be authorized as a URO or PRO

Section 127.653. Decision on application

Section 127.654. Authorization periods

Section 127.655. Reauthorization

Section 127.656. General qualifications

Section 127.657. Local business office

Section 127.658. Accessibility

Section 127.659. Confidentiality

Section 127.660. Availability of reviewers

Section 127.661. Qualifications of reviewers

Section 127.662. Contracts with reviewers

Section 127.663. UR system

Section 127.664. Quality assurance system

Section 127.665. Case communication system

Section 127.666. Annual reports

Section 127.667. Compensation policy

Section 127.668. Suspension of assignments

Section 127.669. Revocation of authorizations

Section 127.670. Hearings