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Section 4201.451. Definition - Sec. 4201.451. DEFINITION. For purposes of this subchapter, "specialty utilization...
Section 4201.452. Inapplicability of Certain Other Law - Sec. 4201.452. INAPPLICABILITY OF CERTAIN OTHER LAW. A specialty utilization...
Section 4201.453. Utilization Review Plan - Sec. 4201.453. UTILIZATION REVIEW PLAN. A specialty utilization review agent's...
Section 4201.454. Utilization Review Under Direction of Provider of Same Specialty - Sec. 4201.454. UTILIZATION REVIEW UNDER DIRECTION OF PROVIDER OF SAME...
Section 4201.455. Personnel - Sec. 4201.455. PERSONNEL. (a) Personnel who are employed by or...
Section 4201.456. Opportunity to Discuss Treatment Before Adverse Determination - Sec. 4201.456. OPPORTUNITY TO DISCUSS TREATMENT BEFORE ADVERSE DETERMINATION. Subject...
Section 4201.457. Appeal Decisions - Sec. 4201.457. APPEAL DECISIONS. A specialty utilization review agent shall...