---
kind: "section"
citation: "42 C.F.R. § 478.24"
title: "42"
number: "478.24"
heading: "Opportunity for a party to obtain and submit information."
url: "https://uscodex.org/cfr/42/478.24"
---

# §478.24. Opportunity for a party to obtain and submit information.

- (a) Subject to the rules concerning disclosure of QIO information in section 1160 of the Act, at the request of a provider, practitioner or beneficiary, the QIO must provide an opportunity for examination of the material upon which the initial denial determination was based. The QIO may not furnish a provider, practitioner or beneficiary with—
  - (1) A record of the QIO deliberation; or
  - (2) The identity of the QIO review coordinators, physician advisors, or consultants who assisted in the initial denial determination without their consent.
- (b) The QIO may require the requester to pay a reasonable fee for the reproduction of the material requested.
- (c) The QIO must provide a party with an opportunity to submit new evidence before the reconsidered determination is made.

## Notes

### Source

Source: 50 FR 15372, Apr. 17, 1985, unless otherwise noted. Redesignated at 64 FR 66279, Nov. 24, 1999.

### Authority

Authority: Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh).