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  • Chapter 35.1: Health Carrier Internal Appeal Process and External Review

Health Carrier Internal Appeal Process and External Review

This is the 2025 edition of the code. There is not the current edition. Browse all editions.

This is Chapter 35.1 of the Code of Virginia, titled “Health Carrier Internal Appeal Process and External Review.” It is part of Title 38.2 “Insurance”.

It’s comprised of the following 16 sections.

§ 38.2-3556 Definitions
§ 38.2-3557 Scope of chapter
§ 38.2-3558 Health carrier's internal appeal process
§ 38.2-3559 Notice of right to external review
§ 38.2-3560 Exhaustion of internal appeal process
§ 38.2-3561 Standard external review
§ 38.2-3562 Expedited external review
§ 38.2-3563 External review of experimental or investigational treatment adverse determinations
§ 38.2-3564 Binding nature of external review decision
§ 38.2-3565 Minimum qualifications for independent review organizations
§ 38.2-3566 Approval of independent review organizations
§ 38.2-3567 Independent review organizations to be held harmless
§ 38.2-3568 External review reporting requirements
§ 38.2-3569 Funding of external review
§ 38.2-3570 Disclosure requirements
§ 38.2-3571 Regulations

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