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Policy Compendium

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LIA-001: Reviewer’s Responsibility

Reviewer’s Responsibility: The Wisconsin Medical Society believes that whenever a patient’s care or medication is reviewed and denial of payment for treatment or approval of a prescribed medication is made, the reviewer’s name, title, final decision and rationale for the decision should be documented. The patient and the patient’s physician should be notified in writing and the right to appeal the decision should be preserved. (HOD, 0412)