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PA Bulletin, Doc. No. 14-1178


Range of Fees and Average Fee Charged by Utilization Review Organizations and Peer Review Organizations for Services Performed under the Workers' Compensation Act

[44 Pa.B. 3286]
[Saturday, May 31, 2014]

 Under 34 Pa. Code § 127.667(b) (relating to compensation policy) the Department of Labor and Industry (Department), Bureau of Workers' Compensation (Bureau), gives notice of the range of fees charged by Utilization Review Organizations (URO) and Peer Review Organizations (PRO) for services performed under the Workers' Compensation Act (77 P. S. §§ 1—1041.4 and 2501—2625) during 2013. The Department further provides notice of the average fee charged by each URO and PRO during 2013.


2013 URO Minimum—Maximum Fee

URO Minimum Fee Maximum Fee
Alico Services LTD 329.22 3647.56
American Review Systems Inc. 240 6864.35
CAB Medical Consultants 350 5003.04
Caduceus Lex Medical Auditing 188.35 3493.18
CEC Inc. 139.40 4221.85
Chiro Med Review Co. 207.47 3286.23
Denovo Management 75 3462
DLB Services 161.79 3500.22
Hajduk & Assoc. URO/PRO Ser. 150.23 3944.48
Industrial Rehabilitation Assoc. 325 4576.99
KVS Consulting Services 273.58 5217.49
Laurel Reviews 46.03 3899.33
Margroff Review Services 208.47 3557.78
McBride & McBride Associates 350 3359.77
Quality Assurance Reviews Inc. 528 5704.84
Rehabilitation Planning Inc. 541.65 9133.16
T & G Reviews 450 4879.56
Uniontown MRPC 159.05 3268
Watson Review Services 226.87 4227.53
West Penn IME Inc. 384.92 4696.72
Total Averages (yr. 2013) 266.75 4497.20

 34 Pa. Code § 127.667(b): The Bureau will publish in the Pennsylvania Bulletin, on an annual basis, the range of fees charged by each URO and PRO for services performed under the act and this chapter during the preceding year.

 ***The fee is calculated as amount charged per Utilization Review Request Assignment which potentially has from one to five determinations associated with the Request.

[Pa.B. Doc. No. 14-1178. Filed for public inspection May 30, 2014, 9:00 a.m.]

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