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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 2336 (April 27, 2024).

55 Pa. Code § 1127.71. Scope of claims review procedures.


§ 1127.71. Scope of claims review procedures.

 Claims submitted for payment under the MA Program are subject to the utilization review procedures established in §  1101.71 (relating to utilization control).


   The provisions of this §  1127.71 adopted January 16, 1987, effective retroactively to July 1, 1986, 17 Pa.B. 267.

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