South Carolina Statutes
§ 38-71-1950 — Requests for external review.
(A)All requests for external review must be made in writing to the health carrier.
(B)A covered person or his authorized representative may make a request for an external review of an adverse determination or final adverse determination only when the amount payable for covered benefits is at least five hundred dollars.
(C)A covered person is not entitled to an external review of a retrospective review determination unless the covered person has exhausted the health carrier's internal appeal process and may be held financially responsible for the covered benefits.
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South Carolina § 38-71-1950 (Requests for external review.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.
Legislative History
HISTORY: 2000 Act No. 380, SECTION 3A.
Nearby Sections
15
§ 38-71-100
Policies exempt from chapter.§ 38-71-1010
"Blanket accident and health insurance" defined.§ 38-71-1020
Requirements as to policies.§ 38-71-1040
Payment of benefits.§ 38-71-105
Disability income insurance.§ 38-71-1050
Legal liability of policyholders not affected.§ 38-71-1310
Short title.§ 38-71-1320
Purpose and intent.§ 38-71-1330
Definitions.