Administrative Code

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Virginia Administrative Code
Title 14. Insurance
Agency 5. State Corporation Commission, Bureau of Insurance
1/25/2020

Chapter 216. Rules Governing Internal Appeal and External ReviewRead Chapter

Section 10
Scope and purpose
Section 20
Definitions
Section 30
General requirements
Section 40
Minimum appeal requirements
Section 45
Exhaustion
Section 50
Urgent care appeals
Section 60
Concurrent review decisions
Section 65
Exception request for prescription drugs
Section 70
Notification requirements
Section 80
Incomplete or ineligible determinations
Section 90
Expedited external review
Section 100
Qualifications for independent review organizations
Section 110
External review reporting requirements
Section 120
Funding of external review
Section 130
Self-insured plans
FORMS
FORMS (14VAC5-216)

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