Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 1032 (February 24, 2024).

31 Pa. Code § 88.135. Physician.

§ 88.135. Physician.

 The insurer may define ‘‘physician’’ or the policy may include words such as qualified physician’’ or ‘‘duly licensed physician.’’ The use of such words requires an insurer to recognize and to accept, to the extent of its obligation un- der the contract, all providers of medical care and treatment when such services are within the scope of the provider’s licensed authority and are provided pursuant to applicable laws.



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