{"data":{"id":"us-va/va.-code-38.2-3564","jurisdiction":"us-va","citation":"Va. Code § 38.2-3564","heading":"Binding nature of external review decision","body":"A. An external review decision is binding on the health carrier. Failure to comply with the assigned independent review organization's external review decision shall be a knowing and willful violation of this section and subject to one or more of the following: (i) punishment as provided in § 38.2-218, (ii) the suspension or revocation of any license issued by the Commission, or (iii) any order that may be issued by the Commission pursuant to § 38.2-219.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.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 for which the covered person has already received an external review decision.2011, c. 788.","path":["Title 38.2. INSURANCE","Chapter 35.1. HEALTH CARRIER INTERNAL APPEAL PROCESS AND EXTERNAL REVIEW"],"source_url":"https://law.lis.virginia.gov/vacode/38.2-3564/","current_through":"9/4/2026","vintage":"","retrieved_at":"2026-09-04T15:16:05Z","sha256":"f97ca1b17f9c8de9ce1f1c4e05824efa7ab2e048dca123dec4a0a2c969dde3a7","source_id":"us-va","stale":true,"prev":"us-va/va.-code-38.2-3563","next":"us-va/va.-code-38.2-3565"},"notice":"GroundRules: Original legal text. Not legal advice."}