- (a) The administrative review rights and procedures specified in §§ 417.834 through 417.840 pertain to disputes involving an organization determination, as defined in § 417.838, with which the enrollee is dissatisfied.
- (b) Physicians and other individuals who furnish items or services under arrangements with an HCPP have no right of administrative review under §§ 417.834 through 417.840.
- (c) The provisions of part 405 dealing with the representation of parties apply to organization determinations and appeals.
- (d) The provisions of part 405 dealing with administrative law judge hearings, Medicare Appeals Council review, and judicial review are applicable, unless otherwise provided.
[59 FR 59943, Nov. 21, 1994, as amended at 70 FR 4713, Jan. 28, 2005]