Pennsylvania  Pennsylvania ER – 3.18.19 I.  Scope and Applicability A.  Who is subject to the state’s external review laws? All entities conducting reviews and appeals of complaint and grievances under Act 68. 28 Pa. Code § 9.701 HMOs? Yes. Insurers? Yes. Utilization review organizations? Yes. ACOs? Yes. PPOs? Yes. Third party administrators? Yes. B.  What […]

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