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S.C. Code Ann. § 38-71-1960. Exhaustion of internal appeal process: Health Carrier External Review Act – South Carolina
Status: EnactedYear Enacted: 2000
File: Download
States that Except in cases where the covered person’s treating physician has certified in writing that the covered person has a serious medical condition, or where the denial of coverage is based on a determination that the health care service or treatment recommended or requested is experimental or investigational and the covered person’s treating physician has provided the certifications required pursuant to Section 38-71-1980, a request for a standard or expedited external review may not be made until the covered person has exhausted the health carrier’s internal appeal process.
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