42 CFR 422.578
§ 422.578 Right to a reconsideration.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 422.578, § 422.578 Right to a reconsideration, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/204652
- Permanent ID
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Full text
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.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.