Pennsylvania Code & Bulletin

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 53 Pa.B. 6142 (September 30, 2023).

55 Pa. Code § 1126.91. Provider right of appeal.


§ 1126.91. Provider right of appeal.

 (a)  The hospital’s right of appeal is under Chapter 1101 (relating to general provisions).

 (b)  ASCs/SPUs and practitioners do not have the right to a separate appeal on the same case.

 (c)  For cases undergoing the appeal process, payment, including adjustments, will be withheld until the case is adjudicated.

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