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§ 38.2-3556. Definitions - As used in this chapter, unless the context requires a...
§ 38.2-3557. Scope of chapter - A. This chapter shall apply to all health carriers, except...
§ 38.2-3558. Health carrier's internal appeal process - Each health carrier shall establish an internal appeal process, including...
§ 38.2-3559. Notice of right to external review - A. A health carrier shall notify the covered person in...
§ 38.2-3560. Exhaustion of internal appeal process - A. A request for an external review shall not be...
§ 38.2-3561. Standard external review - A. Within 120 days after the date of receipt of...
§ 38.2-3562. Expedited external review - A. A covered person or his authorized representative may make...
§ 38.2-3563. External review of experimental or investigational treatment adverse determinations - A. Within 120 days after the date of receipt of...
§ 38.2-3564. Binding nature of external review decision - A. An external review decision is binding on the health...
§ 38.2-3565. Minimum qualifications for independent review organizations - A. An independent review organization shall have and maintain written...
§ 38.2-3566. Approval of independent review organizations - A. Each independent review organization that wishes to be eligible...
§ 38.2-3567. Independent review organizations to be held harmless - No independent review organization or clinical reviewer working on behalf...
§ 38.2-3568. External review reporting requirements - A. An independent review organization shall maintain written records, in...
§ 38.2-3569. Funding of external review - The health carrier against which a request for an external...
§ 38.2-3570. Disclosure requirements - Each health carrier shall include a description of the external...
§ 38.2-3571. Regulations - Pursuant to the authority granted by § 38.2-223, the Commission...