Pennsylvania Code (Last Updated: April 5, 2016) |
Title 34. LABOR AND INDUSTRY |
PART VIII. Bureau of Workers Compensation |
Chapter 127. Workers Compensation Medical Cost Containment |
SubChapter C. MEDICAL TREATMENT REVIEW |
Section 127.601. Peer reviewavailability
Latest version.
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(a) A Workers Compensation judge may obtain an opinion from an authorized PRO concerning the necessity or frequency of treatment rendered under the act when one of the following exist:
(1) A petition for review of a UR determination has been filed.
(2) It is necessary or appropriate in other litigation proceedings before the Workers Compensation judge. Peer review shall be deemed not to be necessary or appropriate if there is a pending UR of the same treatment.
(b) Nothing in subsection (a) requires a Workers Compensation judge to grant a partys motion for peer review.