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Range of Fees and Average Fee Charged by Utilization Review Organizations and Peer Review Organizations for Services Performed under the Workers' Compensation Act

[47 Pa.B. 5740]
[Saturday, September 9, 2017]

 Under 34 Pa. Code § 127.667(b) (relating to compensation policy), the Department of Labor and Industry (Department), Bureau of Workers' Compensation, gives notice of the range of fees charged by Utilization Review Organizations (URO) and Peer Review Organizations (PRO) for services performed under the Workers' Compensation Act (77 P.S. §§ 1—1041.4 and 2501—2625) during 2016. The Department further provides notice of the average fee charged by each URO and PRO during 2016.

2016 Utilization Review Organizations Minimum and Maximum Fees

URO/PRO Minimum Fee Maximum Fee
Alico Services LTD $238.97 $2,923.19
American Review Systems, Inc. $160.00 $3,930.00
CAB Medical Consultants $350.00 $5,334.75
Caduceus Lex Medical Auditing $195.85 $4,024.88
CEC, Inc. $410.00 $4,760.65
Chiro Med Review Co. $235.45 $5,633.15
Denovo Management $144.00 $3,350.00
DLB Services $84.96 $3,918.78
Hajduk & Assoc. URO/PRO Ser. $1.00 $3,463.82
Industrial Rehabilitation Assoc. $375.00 $5,875.00
KVS Consulting Services $314.18 $4,455.69
Laurel Reviews $394.67 $3,681.22
Margroff Review Services $233.61 $3,903.53
McBride & McBride Associates $535.90 $4,100.21
Quality Assurance Reviews, Inc. $595.00 $6,792.84
Rachels Reviews $173.54 $4,992.24
T & G Reviews $400.00 $3,875.00
Uniontown MRPC $204.72 $6,713.50
Watson Review Services $168.56 $4,525.82
West Penn IME, Inc. $496.00 $6,432.24
Total Averages (2016) $285.57 $4,634.33

34 Pa. Code § 127.667(b): The Bureau will publish in the Pennsylvania Bulletin, on an annual basis, the range of fees charged by each URO and PRO for services performed under the act and this chapter during the preceding year.

ROBERT V. O'BRIEN, 
Acting Secretary

[Pa.B. Doc. No. 17-1484. Filed for public inspection September 8, 2017, 9:00 a.m.]



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