Code of Virginia (Last Updated:July 28, 2020) |
TITLE 32.1. Health |
CHAPTER 5. Regulation of Medical Care Facilities and Services |
ARTICLE 1.2. Utilization Review Standards and Appeals |
SECTION 32.1-137.15. Adverse determination; appeal |
Each entity shall establish an internal appeals process, including a process for urgent care appeals, to consider any adverse determination that is appealed by a covered person, his representative, or his provider in accordance with the provisions of § 38.2-3558 . 1998, c. 38.2-3558 ; 1999, cc. 38.2-3558 , 38.2-3558 , 38.2-3558 ; 2000, c. 38.2-3558 ; 2010, c. 38.2-3558 ; 2011, c. 38.2-3558 . |