Code of Federal Regulations (alpha)

CFR /  Title 42  /  Part 422  /  Sec. 422.578 Right to a reconsideration.

Any party to an organization determination (including one that has been reopened and revised as described in Sec. 422.616) may request that the determination be reconsidered under the procedures described in Sec. 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 Sec. 422.582. An enrollee or physician (acting on behalf of an enrollee) may request an expedited reconsideration as described in Sec. 422.584. [74 FR 1542, Jan. 12, 2009]