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Virginia Administrative Code (Last Updated: January 10, 2017) |
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Title 14. Insurance |
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Agency 5. State Corporation Commission, Bureau of Insurance |
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Chapter 216. Rules Governing Internal Appeal and External Review |
| 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 |
| Appendix 9998. FORMS (14VAC5-216) |