Transcription of Before you can request an External ... - …
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Before you can request an External ... - …
1 Before you can request an External Review you must havecompleted theinternal review process provided by your insurance companyand received afinal TO External REVIEW PROCESSWest Virginialaw gives you the right to an externalreviewwhenhealthcareservices aredenied by your insurer on thebasisthattheservices are notmedically necessary or that theservices are experimental or is anExternalReview? An externalreviewis a request that youmake to the state for anindependent review of adenial of services by your insurer. Reviews are conducted by Independent ReviewOrganizations(IROs) that are certified bythe state and have a network of medical experts to review your health insurer s denial ofservices. Youmust complete the attached application and submit the application and allsupporting documentation to theWest Virginia Offices of the InsuranceCommissionerto request an am Ieligiblefor anIndependentExternalReview?
1 Before you can request an External Review you must have completed the internal review process provided by your insurance company and received a
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