Chapter 35.1 Health Carrier Internal Appeal Process and External Review
This chapter is comprised of the following 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