S.C. Code § 38-71-1990
External review decisions final; exceptions
South Carolina · South Carolina Code Title 38, Chapter 71 — Accident and Health Insurance · Status: effective
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- S.C. Code § 38-71-1990, External review decisions final; exceptions, South Carolina, version 1 as recorded 2026-09-28, yourstate.us, https://yourstate.us/provision/1580002
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(A) An external review decision is binding on the health carrier.
(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. If such other remedies are available, the covered person or his authorized representative may not, in these proceedings, utilize, disclose, or introduce in evidence information generated during or findings reached by the independent review organization.
(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.