StacksVerified U.S. regulatory reference

42 CFR §478.16

Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
A beneficiary, provider or practitioner who is dissatisfied with a QIO initial denial determination on one of the issues specified in § 478.14 has a right to a reconsideration of that determination by the QIO that made the initial denial determination.