Health Carrier Internal Appeal Process and External Review

  1. Law
  2. Code of Virginia
  3. Insurance
  4. Health Carrier Internal Appeal Process and External Review

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Section
38.2-3556

Definitions

Section
38.2-3557

Scope of chapter

Section
38.2-3558

Health carrier's internal appeal process

Section
38.2-3559

Notice of right to external review

Section
38.2-3560

Exhaustion of internal appeal process

Section
38.2-3561

Standard external review

Section
38.2-3562

Expedited external review

Section
38.2-3563

External review of experimental or investigational treatment adverse determinations

Section
38.2-3564

Binding nature of external review decision

Section
38.2-3565

Minimum qualifications for independent review organizations

Section
38.2-3566

Approval of independent review organizations

Section
38.2-3567

Independent review organizations to be held harmless

Section
38.2-3568

External review reporting requirements

Section
38.2-3569

Funding of external review

Section
38.2-3570

Disclosure requirements

Section
38.2-3571

Regulations