Adverse determination; appeal

Va. Code Ann. § 32.1-137.15, under Chapter 5. Regulation of Medical Care Facilities and Services..

Va. Code Ann. § 32.1-137.15

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.