North Carolina General Statutes 58-50-84. Binding nature of external review decision
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Terms Used In North Carolina General Statutes 58-50-84
- Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
- state: when applied to the different parts of the United States, shall be construed to extend to and include the District of Columbia and the several territories, so called; and the words "United States" shall be construed to include the said district and territories and all dependencies. See North Carolina General Statutes 12-3
(a) An external review decision is binding on the insurer.
(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.
(c) A covered person may not file a subsequent request for external review involving the same noncertification appeal decision or second-level grievance review decision for which the covered person has already received an external review decision under this Part. (2001-446, s. 4.5.)