Bill > HB701

This bill requires health insurance companies, referred to as "health carriers," to provide written notice of an "adverse determination" (a denial of a requested health service or treatment) or a "final adverse determination" (the final denial after an internal appeal) to a covered person within five business days of making that decision. This notice must also inform the person of their right to request an "external review," which is an independent review of the denial by healthcare professionals not associated with the insurance company. Importantly, the bill mandates that this notice must now include specific information about the individual who made the adverse determination, such as their name or a unique identifier, and their business address and phone number, providing greater transparency to patients about who is making decisions about their healthcare.

Business and Industry

https://lis.virginia.gov/bill-details/20261/HB701