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Code of Federal Regulations

ECFRba80b2c5e3f1227

Initial Determinations

405.920Initial determinations.405.921Notice of initial determination.405.922Time frame for processing initial determinations.405.924Actions that are initial determinations.405.925Decisions of utilization review committees.405.926Actions that are not initial determinations.405.927Initial determinations subject to the reopenings process.405.928Effect of the initial determination.405.929Post-payment review.405.930Failure to respond to additional documentation request.