{"data":{"id":"us/42-cfr-422.578","jurisdiction":"us","citation":"42 CFR 422.578","heading":"Right to a reconsideration.","body":"Any party to an organization determination (including one that has been reopened and revised as described in § 422.616) may request that the determination be reconsidered under the procedures described in § 422.582, which address requests for a standard reconsideration. A physician who is providing treatment to an enrollee may, upon providing notice to the enrollee, request a standard reconsideration of a pre-service request for reconsideration on the enrollee's behalf as described in § 422.582. An enrollee or physician (acting on behalf of an enrollee) may request an expedited reconsideration as described in § 422.584.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER B—MEDICARE PROGRAM","PART 422—MEDICARE ADVANTAGE PROGRAM","Subpart M—Grievances, Organization Determinations and Appeals"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"5500d66a36d5659388303f4c1af888f98c6a71bb2c83f9524722fe4b1d894e32","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-422.576","next":"us/42-cfr-422.580"},"notice":"GroundRules: Original legal text. Not legal advice."}