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South Carolina · Through 2025 Session of the General Assembly

S.C. Code Ann. § 38-71-1990: External review decisions final; exceptions.

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Where this section sits in the code
  1. Title 38 - INSURANCE
  2. CHAPTER 71 Accident and Health Insurance
  3. ARTICLE 19 Health Carrier External Review Act

(A) An external review decision is binding on the health carrier.

(B) An external review decision is binding on the covered person except to the extent the covered person has other remedies available under applicable federal or state law. If such other remedies are available, the covered person or his authorized representative may not, in these proceedings, utilize, disclose, or introduce in evidence information generated during or findings reached by the independent review organization.

(C) A covered person or his authorized representative may not file a subsequent request for external review involving the same adverse determination or final adverse determination.

Collected 2026-09-02T07:14:39Z. Source file · JSON

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