URAC P-NM 17 and N-NM 17 -- v. 5.1 revision

In amending this standard, which describes an aspect of the provider dispute resolution process for clinical and quality disputes, URAC simply clarifies that its use is limited to participating providers. It does so by amending subsection (b) to read, “Includes the right to consideration by a second-level panel and the methods to request such consideration, and a mechanism for participating providers to present relevant information.” The new language is simply the word “participating”.

For a more complete discussion of URAC's provider dispute resolution standards, see my earlier blog.