(a) Review of denied claim. An FPP health-care provider
may request a review of a denied claim. The request must be submitted
as an administrative appeal under Chapter 354, Subchapter I, Division
3 of this title (relating to Appeals).
(b) Appeal procedures. An administrative appeal is
subject to the timelines and procedures set out in Chapter 354, Subchapter
I, Division 3 of this title and all other procedures and timelines
applicable to an FPP health-care provider's appeal of a Medicaid claim
denial.
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