Section 418.101209. Carrier's request for reconsideration of professional review certification.  


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  • (1) Within 30 days of the agency's denial of a carrier's request for professional review program certification, the  agency  shall notify  the carrier of the reasons for denial of the certification and shall notify the carrier of its right to  request reconsideration    of    the denial  providing additional information.

    (2) A carrier shall notify the agency, within 30 days of receipt of the professional review program certification denial, of its disagreement with the action of the agency. The carrier's notice to the agency of disagreement with the agency's denial shall include a detailed statement  of the reasons for the disagreement and shall request reconsideration.

History: 2000 AACS; 2005 AACS.