Virginia Virginia ER – 10.18.19 I. Scope and Applicability A. Who is subject to the state’s external review laws? All health carriers seeking to perform external review. 14 VAC 5-216-10(A); Va. Code Ann. §38.2-3557(A) HMOs? Yes. Insurers? Yes. Utilization review organizations? Yes. ACOs? Yes. PPOs? Yes. Third party administrators? Yes. B. What exemptions are provided, […]
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